Healthcare Provider Details

I. General information

NPI: 1932250958
Provider Name (Legal Business Name): ANN ELIZABETH GREIG FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 5TH AVE FL 2
NEW YORK NY
10011-5631
US

IV. Provider business mailing address

126 5TH AVE FL 2
NEW YORK NY
10011-5631
US

V. Phone/Fax

Practice location:
  • Phone: 646-880-4465
  • Fax: 323-307-7140
Mailing address:
  • Phone: 646-880-4465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF331391
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: