Individual
KAREN E GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
154 COMMACK RD, STE-100, COMMACK, NY 11725-3457
(631) 499-8282
(631) 452-5462
Mailing address
66 POWERHOUSE RD, 3RD FLOOR, ROSLYN HEIGHTS, NY 11577-1372
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255092
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380990
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03057072
—
NY
Enumeration date
10/22/2007
Last updated
02/10/2009
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