Individual
CARMELLA A GREASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
85 BRYANT WOODS S, AMHERST, NY 14228-3604
(716) 689-3333
(716) 689-9866
Mailing address
85 BRYANT WOODS S, AMHERST, NY 14228-3604
(716) 689-3333
(716) 689-9866
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560980001
BC/BS
NY
01
—
9513047
INDEPENDENT HEALTH
NY
Enumeration date
11/29/2005
Last updated
07/09/2007
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