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NPI Code Detail

MEDICARE: DR. WILLIAM GRECO DPM

MEDICARE:  DR. WILLIAM  GRECO  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0131XFoot Surgery PodiatristN0003930NY

General Provider Information

NPI Number : 1174509384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM GRECO DPM
Provider Business Mailing Address
First Line : 13 MURRAY RD
Second Line :
City : MONTVALE
State : NJ
Zip : 07645-2609
Country : US
Telephone Number : 201-573-8440
Fax Number : 201-746-0455
Provider Business Practice Location Address
First Line : 345 N MAIN ST
Second Line :
City : NEW CITY
State : NY
Zip : 10956-4305
Country : US
Telephone Number : 845-831-2000
Fax Number : 201-746-0455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 02/12/2014

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Directions to “ DR. WILLIAM GRECO DPM” Practice Location

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