Individual
DR. BRETT B GREENKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4115 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6636
(315) 329-7600
(315) 329-7608
Mailing address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1880
(315) 251-3100
(315) 449-9923
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
170239
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
170239
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01360021
—
NY
Enumeration date
04/19/2006
Last updated
08/15/2019
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