Individual
MRS. JAYNE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 CHESTNUT RD, MANHASSET, NY 11030-1237
(516) 633-2574
Mailing address
110 CHESTNUT RD, MANHASSET, NY 11030-1237
(516) 633-2574
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F331116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02381253
—
NY
01
—
289912
LICENSE
NY
Enumeration date
08/04/2006
Last updated
07/08/2007
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