MEDICARE: YANINA GREYF NP

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
1	363LF0000X	Family Nurse Practitioner	334607	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174557136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANINA GREYF NP

Provider Business Mailing Address
First Line	:	4813 9TH AVE FL 5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2484
Country	:	US
Telephone Number	:	718-283-5329
Fax Number	:	718-635-7640

Provider Business Practice Location Address
First Line	:	4813 9TH AVE FL 5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2484
Country	:	US
Telephone Number	:	718-283-5329
Fax Number	:	718-635-7640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	10/20/2023

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