MEDICARE: MRS. ORNESSA GREENIDGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	344600000X	Taxi	559302889	NY

General Provider Information

NPI Number	:	1487356762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ORNESSA GREENIDGE

Provider Business Mailing Address
First Line	:	921 CLEVELAND ST APT 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-5062
Country	:	US
Telephone Number	:	347-856-3554
Fax Number	:

Provider Business Practice Location Address
First Line	:	921 CLEVELAND ST APT 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-5062
Country	:	US
Telephone Number	:	347-856-3554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	03/20/2023

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Directions to “ MRS. ORNESSA GREENIDGE ” Practice Location

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