Individual
MS. JODY GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CDN
Contact information
Practice address
315 W 106TH ST, 9-C, NEW YORK, NY 10025-3445
(212) 866-3656
Mailing address
315 W 106TH ST, 9-C, NEW YORK, NY 10025-3445
(212) 866-3656
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352328P
HIP
NY
01
—
P3364236
OXFORD
NY
Enumeration date
06/29/2005
Last updated
07/08/2007
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