Individual
GREGORY W RUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 RACE TRACK RD, SUITE 1, TICONDEROGA, NY 12883-4004
(518) 585-6708
(518) 585-3260
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
192862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01700283
—
NY
Enumeration date
07/28/2006
Last updated
02/01/2017
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