Individual
MR. KEITH ANTHONY GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11 EMERSON AVE, LEVITTOWN, NY 11756-5705
(631) 333-9004
Mailing address
1276 CLARKE ST, ELMONT, NY 11003-3319
(516) 424-4038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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