Healthcare Provider Details

I. General information

NPI: 1780446252
Provider Name (Legal Business Name): ERIN GREENE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 WHEAT HILL RD
SIDNEY CENTER NY
13839-1383
US

IV. Provider business mailing address

PO BOX 402
SIDNEY CENTER NY
13839-0402
US

V. Phone/Fax

Practice location:
  • Phone: 607-349-3239
  • Fax:
Mailing address:
  • Phone: 607-349-3239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: