Provider Demographics
NPI:1851446082
Name:HNAT, GREGORY JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:JAMES
Last Name:HNAT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 SWEET HOME ROAD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:W AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228
Mailing Address - Country:US
Mailing Address - Phone:716-689-5919
Mailing Address - Fax:716-689-5917
Practice Address - Street 1:1400 SWEET HOME ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:W AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228
Practice Address - Country:US
Practice Address - Phone:716-689-5919
Practice Address - Fax:716-689-5917
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0087371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC087371BOtherWORK COMP
NYC087371BOtherWORK COMP
U67629Medicare UPIN