Gregory Baumgartner
NPI #1205488970 in Centereach, New York
Provider Information
- NPI Number
- 1205488970
- Entity Type
- Individual
- Name
- Gregory Baumgartner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 12, 2019
- Last Updated
- Feb 5, 2021
Practice Location
- Address
- 122 RONKONKOMA BLVD
- City
- Centereach
- State
- New York
- ZIP Code
- 11720-3314
- Phone
- (631) 655-6484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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