Individual
DARREN RANDOLPH GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-3632
(315) 426-3603
Mailing address
3839 YORKLAND DR NW APT 12, COMSTOCK PARK, MI 49321-8461
(202) 256-0992
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
955394-01
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
955394-01
NY
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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