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MR. GREGORY L HIGGINS
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1508924861
Individual Registrant:MR. GREGORY L HIGGINS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3764 72ND ST OCNI JACKSON HTS, NY 11372-6143 US
Tel: 718-335-3434 Fax: 718-335-4731
Tel: 718-335-3434 Fax: 718-335-4731
Contact information for business:
75 - 15 210TH ST APT 2G BAYSIDE, NY 11364-3250 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1508924861
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | NY | PR019392-1 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
