Individual
DR. GREGG A CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
315 W 57TH ST, SUITE 409, NEW YORK, NY 10019-3158
(212) 333-5003
(212) 247-2491
Mailing address
315 W 57TH ST, SUITE 409, NEW YORK, NY 10019-3158
(212) 333-5003
(212) 247-2491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035017
NY
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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