Hepburn, Gregory

Hepburn, Gregory is an individual health care provider with primary practice located at 100 N Main St , Elmira NY 14901-2901. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Hepburn, Gregory can be contacted via phone (607) 737-4040.

Contact Information

Primary practice address
100 N Main St Elmira NY 14901-2901
Phone: (607) 737-4040
Fax: (607) 734-0774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16911 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001753-1 New York

Profile Details

NPI number 1427234699
LBN Legal business name Hepburn, Gregory
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2008
Last updated Nov 19th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427234699 NPPES
New York Other 12576044 CAQH

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