Individual
JOHN MARTIN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
17 CONCORD RD, ARDSLEY, NY 10502-1111
(914) 693-2127
Mailing address
17 CONCORD RD, ARDSLEY, NY 10502-1111
(914) 693-2127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1014096
OXFORD HEALTH PLAN ID
NY
Enumeration date
03/03/2007
Last updated
08/12/2020
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