| Doctor Name: | MR. GREGORY 'GREG' PROCOPIO |
| NPI Number: | 1063738797 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.P. |
| License Number: | 596534 |
| Business Practice Address: | 308 Charlane Parkway North Syracuse, NY - 13212 |
| Business Phone Number: | 3157065272 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3841, SYRACUSE |
| State: | NY |
| Postal Code: | 132203841 |
| Phone Number: | 3157065272 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2010 |
| NPI Last Update Date: | 08/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | 596534 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |