Gregory Irving Mack in Shrub Oak - Clinical

Gregory Irving Mack - NPI 1669523106

Gregory Irving Mack is a Clinical in Shrub Oak, New York. Gregory Irving Mack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory Irving Mack is 1669523106. The last update date is 2017-02-25.

Gregory Irving Mack's current location address is Po Box 533, Shrub Oak, New York. You can contact this provider via phone number 8452823367 and fax number 9147431613. The mailing address for Gregory Irving Mack is Po Box 533, Shrub Oak, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Irving Mack
Address Po Box 533, Shrub Oak, New York
Phone Number 8452823367
Fax Number 9147431613
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1669523106
Provider Enumeration Date 2007-01-12
Last Updated Date 2017-02-25

Provider Mailing Address Detail

Address Po Box 533
City Shrub Oak
State New York (NY)
Post Code 105880533
Phone Number 8452823367
Fax Number 9147431613

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 16597
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3577942 NY --

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FAQs about Gregory Irving Mack

What is the unique 10-digit identification code issued to Gregory Irving Mack by the Centers for Medicare & Medicaid Services?

The Gregory Irving Mack has been assigned the NPI (National Provider Identifier) 1669523106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Gregory Irving Mack is physically located?

The Gregory Irving Mack is physically situated at the following address: Po Box 533, Shrub Oak, NY, 105880533.

What is Gregory Irving Mack's area of expertise and its corresponding taxonomy classification?

The Gregory Irving Mack's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

When did Gregory Irving Mack receive its 1669523106 assignment?

The Gregory Irving Mack was assigned its 1669523106 on 2007-01-12, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Gregory Irving Mack most recently updated or revised?

The details related to Gregory Irving Mack, including its address, specialty, and other relevant information, were last updated or revised on 2017-02-25.

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