Individual
THERESA GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1200 DRIVING PARK AVE, 2ND FLOOR, NEWARK, NY 14513-1090
(315) 359-2670
(315) 359-2675
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(315) 359-2670
(315) 359-2675
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
433982
NY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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