Individual
MEGAN GREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1054 SIMPSON ST, BRONX, NY 10459-2404
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405237-01
NY
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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