Individual
MRS. KATHERINE JANE GREENWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 TANGLEWOOD DR W, ORCHARD PARK, NY 14127-3505
(716) 479-0289
Mailing address
63 TANGLEWOOD DR W, ORCHARD PARK, NY 14127-3505
(716) 479-0289
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
995419
NY
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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