Individual
MR. CHARLES GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R,BCD
Contact information
Practice address
37 RANDALL RD, PO 32, WADING RIVER, NY 11792
(631) 929-1400
(631) 929-1400
Mailing address
4 JOANN COURT, P.O. 827, EASTPORT, NY 11941
(631) 929-1400
(631) 929-1400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR022710
NY
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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