Provider Demographics
NPI:1063514289
Name:MCGREGOR, VICTOR ARTHUR (NP, PHD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:ARTHUR
Last Name:MCGREGOR
Suffix:
Gender:M
Credentials:NP, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ANN ST
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-1804
Mailing Address - Country:US
Mailing Address - Phone:845-532-2493
Mailing Address - Fax:845-246-5545
Practice Address - Street 1:300 GRANT AVE
Practice Address - Street 2:
Practice Address - City:LAKE KATRINE
Practice Address - State:NY
Practice Address - Zip Code:12449-5340
Practice Address - Country:US
Practice Address - Phone:845-336-3500
Practice Address - Fax:845-382-1417
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY422413-1163WP0809X, 163WP0809X
NYF400138363LP0808X, 163WN0800X
NYF304374363LA2200X
NYF304374-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA300122126Medicare PIN
NYS05117Medicare UPIN