Provider Demographics
NPI:1720099732
Name:LANIER, GREGG M (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGG
Middle Name:M
Last Name:LANIER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:100 WOODS RD
Mailing Address - Street 2:TCC ROOM D368
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-493-7530
Mailing Address - Fax:914-493-5827
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-909-6900
Practice Address - Fax:914-493-2828
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-11-19
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Provider Licenses
StateLicense IDTaxonomies
NY233588207RC0000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease