Individual
GREG WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
(607) 274-6200
Mailing address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
(607) 274-6200
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
123456789
NY
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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