Burton-Grego, Laurie
Burton-Grego, Laurie is an individual health care provider with primary practice located at 501 New Karner Rd Suite 1A, Albany NY 12205-3882. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Burton-Grego, Laurie can be contacted via phone (518) 452-1337.Contact Information
Primary practice address
501 New Karner Rd Suite 1A
Albany NY 12205-3882
Phone: (518) 452-1337
Fax: (518) 724-6660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 005085 | New York |
Profile Details
| NPI number | 1295736478 |
|---|---|
| LBN Legal business name | Burton-Grego, Laurie |
| Credentials | MS, RD, CDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jan 31st, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295736478 | NPPES |
| New York | Other | 7436613 | AETNA |
| New York | Other | 161DE1 | AETNA |
| New York | MEDICAID | 03273609 | AETNA |
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