Individual
DAWNING RED GREENSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
148 W 125TH ST, NEW YORK, NY 10027-4589
(212) 609-7285
Mailing address
148 W 125TH ST FRNT 3, NEW YORK, NY 10027-4589
(212) 609-7285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
648519
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310998
NY
Other
Enumeration date
09/01/2021
Last updated
10/31/2022
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