Individual
GREGORY LOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 2ND AVE FL 7, NEW YORK, NY 10017-9224
(212) 867-0609
Mailing address
800 2ND AVE FL 7, NEW YORK, NY 10017-9224
(212) 867-0609
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
190657-1
NY
207L00000X
Anesthesiology Physician
73586
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600164
—
NY
01
—
73586
MEDICAL LICENSE
CT
Enumeration date
06/24/2005
Last updated
12/11/2023
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