MEDICARE: VALERIE GREENE

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	208000000X	Pediatrics Physician	MT194919	PA

General Provider Information

NPI Number	:	1982832788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE GREENE

Provider Business Mailing Address
First Line	:	1000 SHADOW GLEN CT
Second Line	:	APT 301
City	:	WEXFORD
State	:	PA
Zip	:	15090-7350
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4221 PENN AVE
Second Line	:	SUITE 5400
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-1307
Country	:	US
Telephone Number	:	412-692-5325
Fax Number	:

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

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	05/24/2021

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Directions to “ VALERIE GREENE ” Practice Location

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