Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Beau Anthony Gregersen, DC

Individual provider Chiropractor · NPI 1013056456

Dr. Beau Anthony Gregersen, DC is a Chiropractor in New York, New York. Practices as a sole proprietor. Licensed in New York and Texas.

Licensed in
NY, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

330 W 58th St Suite# 407
New York, NY 10019-1827
Phone: (212) 765-6470
Fax: (212) 333-7346
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Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 10129 (TX)
Chiropractor Taxonomy 111N00000X · Licence X011304-1 (NY)

Record details

NPI number1013056456
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 5, 2007
Last updated in NPPESSeptember 25, 2012

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