Healthcare Provider Details

I. General information

NPI: 1679363238
Provider Name (Legal Business Name): CARRIE E GREIG FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARRIE ELIZABETH GREIG NP

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10869 STATE ROUTE 36
DANSVILLE NY
14437-9444
US

IV. Provider business mailing address

4137 WEBER RD
GAINESVILLE NY
14066-9726
US

V. Phone/Fax

Practice location:
  • Phone: 585-335-3100
  • Fax: 585-335-8695
Mailing address:
  • Phone: 585-297-6717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF357502-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number765196
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: