Individual
MS. SHELLY GREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 RICHBOURNE LN, MELVILLE, NY 11747-3915
(516) 508-1477
Mailing address
17 RICHBOURNE LN, MELVILLE, NY 11747-3915
(516) 508-1477
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
747955
NY
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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