Scott Gregory
Individual provider Active NPI Counselor · Sanborn, NY
NPI 1184458192 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1184458192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 6298 Inducon Dr E
Sanborn, NY 14132-9013 - Phone
- (716) 831-2700
- NPI assigned
- Aug 30, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
6298 Inducon Dr E
Sanborn, NY 14132-9013
Mailing address
55 Dodge Rd
Getzville, NY 14068-1205
Phone (716) 831-2700
Other providers in Sanborn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.