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Contact Information

GREGGORY T ANDERSON, PHD
4 WALNUT STREET
CORAM, NY11727
 Phone: 631-331-8765
 Fax: 631-331-8765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GREGGORY T ANDERSON · (Male)

NPI # 1316033780
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/05/2006
Last updated 05/10/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • NY License # 010939
Hospital affiliation(s) Not Available
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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