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Contact Information

GREGORY GARRA, DO
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY11794-0001
 Phone: 631-444-2499
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GREGORY GARRA · (Male)

NPI # 1811929664
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 206200
  • NY Medicaid 02078068
  • NY Other 7616533 AETNA
  • NY Other 827631 EMPIRE BC.BS
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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