Individual
GREGORY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7320 70TH ST, GLENDALE, NY 11385-7145
(718) 366-5639
Mailing address
7320 70TH ST, GLENDALE, NY 11385-7145
(718) 366-5639
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
81-1957817
NY
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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