Individual
CHARLENE MARIE GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33-57 HARRISON STREET, JOHNSON CITY, NY 13790-2558
(607) 763-6101
(607) 729-3982
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 763-6101
(607) 763-5180
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420651-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03430884
—
NY
Enumeration date
12/08/2011
Last updated
02/11/2013
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