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NPI Code Detail

MEDICARE: MS. KATHLEEN GREENER FNP

MEDICARE: MS. KATHLEEN GREENER FNP
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
1207QA0505XAdult Medicine PhysicianF332915NY

General Provider Information

NPI Number : 1871595447
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLEEN GREENER FNP
Provider Business Mailing Address
First Line : 16 E 16TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10003-3105
Country : US
Telephone Number : 212-206-5200
Fax Number :
Provider Business Practice Location Address
First Line : 16 E 16TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10003-3105
Country : US
Telephone Number : 212-206-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 07/08/2007

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Directions to “ MS. KATHLEEN GREENER FNP” Practice Location

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