NPI 1013056456

Beau Anthony Gregersen, DC

Practitioner Chiropractor New York, NY

Practice location

Address: 330 W 58th St Suite# 407, New York, NY 10019-1827
Phone: (212) 765-6470
Fax: (212) 333-7346

Registered specialties (2)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 10129 (TX)

Other Chiropractor providers in New York →

Chiropractor

Chiropractic Providers Taxonomy 111N00000X Licence X011304-1 (NY)

Registry record

NPI: 1013056456
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2007
Record last updated: 25 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.