Healthcare Provider Details

I. General information

NPI: 1881725554
Provider Name (Legal Business Name): AARON JOHN GREER P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 12/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 W COMMERCIAL ST STE 1275
E ROCHESTER NY
14445-2407
US

IV. Provider business mailing address

349 W COMMERCIAL ST STE 1275
E ROCHESTER NY
14445-2407
US

V. Phone/Fax

Practice location:
  • Phone: 585-264-0370
  • Fax: 585-264-0432
Mailing address:
  • Phone: 585-264-0370
  • Fax: 585-264-0432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number028338-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: