Provider Demographics
NPI:1386705226
Name:GREGOR, BARBARA ELLEN (NP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ELLEN
Last Name:GREGOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 NORTH PLUM POINT ROAD
Mailing Address - Street 2:
Mailing Address - City:HIMROD
Mailing Address - State:NY
Mailing Address - Zip Code:14842
Mailing Address - Country:US
Mailing Address - Phone:607-243-7008
Mailing Address - Fax:
Practice Address - Street 1:50 GATES CIRCLE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209
Practice Address - Country:US
Practice Address - Phone:716-885-1424
Practice Address - Fax:716-885-1722
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF300084363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health