Healthcare Provider Details

I. General information

NPI: 1255952339
Provider Name (Legal Business Name): DANA E GREENE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 98TH ST FL 10
NEW YORK NY
10029-6501
US

IV. Provider business mailing address

1425 MADISON AVENUE, BOX 1189 ROOM L6-86A
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-5548
  • Fax: 212-241-2655
Mailing address:
  • Phone: 212-241-5548
  • Fax: 212-241-2655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number322916
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: