Organization
MARY ELLEN GRECO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELLEN GRECO MD (OWNER/ PHYSICIAN)
(315) 470-7942
Entity
Organization
Contact information
Practice address
725 IRVING AVE, SUITE 314, SYRACUSE, NY 13210-1603
(315) 470-7942
(315) 470-2722
Mailing address
725 IRVING AVE, SUITE 314, SYRACUSE, NY 13210-1603
(315) 470-7942
(315) 470-2722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
203877
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168727
—
NY
Enumeration date
07/14/2008
Last updated
07/14/2008
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