Individual
MR. BRUCE L GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 BRENTWOOD DR, SUITE B, ITHACA, NY 14850-1865
(607) 266-0073
(607) 266-9310
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
153402
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01507464
—
NY
Enumeration date
07/27/2006
Last updated
05/17/2013
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