Basic Information
Provider Information
NPI: 1093895054
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALMOND
FirstName: GREGORY
MiddleName: LYNN
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH, MS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 320 W 83RD ST
Address2: APT 7G
City: NEW YORK
State: NY
PostalCode: 100244805
CountryCode: US
TelephoneNumber: 6462711251
FaxNumber: 2124236383
Practice Location
Address1: 1901 1ST AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100297404
CountryCode: US
TelephoneNumber: 2124237175
FaxNumber: 2124236383
Other Information
ProviderEnumerationDate: 10/16/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X172303NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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