Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 270200 | NY |
N | 208200000X | Surgeon | L-221349 | MA |
N | 208600000X | Surgeon | L-221349 | MA |
NPI | 1508083817 |
---|---|
Provider Name | Gregory R. Veillette |
First Address | Hawthorne, NY 10532-2140 |
Second Address | Valhalla, NY 10595-1530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 25/04/2017 |