=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679363238
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CARRIE E GREIG FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2025
-----------------------------------------------------
Last Update Date | 08/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10869 STATE ROUTE 36
-----------------------------------------------------
City | DANSVILLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14437-9444
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-335-3100
-----------------------------------------------------
Fax | 585-335-8695
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4137 WEBER RD
-----------------------------------------------------
City | GAINESVILLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14066-9726
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-297-6717
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | F357502-01
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 765196
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------