Individual
GREGORY ARIC WYCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
523 W 160TH ST APT 1B, NEW YORK, NY 10032-6626
(917) 446-6964
Mailing address
523 W 160TH ST APT 1B, NEW YORK, NY 10032-6626
(917) 446-6964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716259
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
433386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433386
LICENSE
NY
01
—
716259
LICENSE NUMBER
NY
Enumeration date
03/11/2019
Last updated
11/14/2025
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