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Contact Information

GREGORY I MACK, PhD
345 KEAR ST
SUITE 202
YORKTOWN HEIGHTS, NY10598-4425
 Phone: 845-282-3367
 Fax: 914-743-1613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GREGORY I MACK · (Male)

NPI # 1669523106
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/12/2007
Last updated 02/25/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 016597
  • NY Medicaid 03577942
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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