Individual provider · NPI-1

Gregory Boyle, ATC

Specialist/Technologist, Athletic Trainer · Forest Hills, NY

NPI number1508429309
StatusActive
Last updated in NPPESApr 17, 2019

Details

NPI
1508429309
Entity type
Individual (NPI-1)
Name
Gregory Boyle
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2019
Last updated
Apr 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

11050 71st Rd Apt 4a
Forest Hills, NY 11375-4973

Phone 718-689-2340

Mailing address

1300 Franklin Ave Ste Ll2
Garden City, NY 11530-1760

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