Organization
GREENE FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJORIE KETZAK DO (OWNER)
(607) 427-4588
Entity
Organization
Contact information
Practice address
29 N CHENANGO ST, GREENE, NY 13778-1139
(607) 427-4588
(607) 656-5015
Mailing address
20 N CHENANGO ST, GREENE, NY 13778-1131
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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