Provider Demographics
NPI:1790873487
Name:DUNN, GREGORY EDWARD (MSPT, OCS)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:EDWARD
Last Name:DUNN
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Gender:M
Credentials:MSPT, OCS
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Mailing Address - Street 1:16 ONYX DR
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-3014
Mailing Address - Country:US
Mailing Address - Phone:631-335-0826
Mailing Address - Fax:
Practice Address - Street 1:34 COMMERCE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-3118
Practice Address - Country:US
Practice Address - Phone:631-727-9654
Practice Address - Fax:631-727-9681
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2009-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0201482251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic