Individual
MARY ELLEN GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2038771
NY
2086S0102X
Surgical Critical Care Physician
2038771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CC4129
—
NY
Enumeration date
11/20/2006
Last updated
02/05/2013
Update your record
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