Provider Demographics
NPI:1447663828
Name:HRONEC, GREGGORY
Entity type:Individual
Prefix:
First Name:GREGGORY
Middle Name:
Last Name:HRONEC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 N ALLEGHANY AVE
Mailing Address - Street 2:APARTMENT 7
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-2100
Mailing Address - Country:US
Mailing Address - Phone:516-242-2589
Mailing Address - Fax:
Practice Address - Street 1:1090 N ALLEGHANY AVE
Practice Address - Street 2:APARTMENT 7
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-2100
Practice Address - Country:US
Practice Address - Phone:516-242-2589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1344545174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist