Individual
CHRISTINE A GRIECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 DEER LN, MANORVILLE, NY 11949-2970
(516) 528-6349
Mailing address
66 DEER LN, MANORVILLE, NY 11949-2970
(516) 528-6349
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
694721961
NY
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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