GREGORY VERSAILLES

LONG ISLAND CITY, NY
NPI1588110316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY  844799)
Enumeration Date2016-08-31
Last Update Date2016-08-31
Business Address
-- GREGORY VERSAILLES
36-36 33RD ST.
LONG ISLAND CITY, NY 11106-2329
Phone number: 212-920-2904
Mailing Address
-- GREGORY VERSAILLES
863 HARBOR CIR
BALDWIN, NY 11510-4036
Phone number: