Individual
MAX GREENKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5719 WIDEWATERS PKWY STE 2, SYRACUSE, NY 13214-1877
(315) 251-3100
Mailing address
5824 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3072
(315) 251-3105
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
310185
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06556743
—
NY
Enumeration date
04/07/2015
Last updated
09/13/2022
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