Individual
CHENISE GREAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 ELZEY AVE, ELMONT, NY 11003-1532
(631) 352-9264
Mailing address
57 ELZEY AVE, ELMONT, NY 11003-1532
(631) 352-9264
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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