Individual
MARIE A GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
125 WORTH ST, NEW YORK, NY 10013-4006
(718) 579-1724
Mailing address
125 WORTH ST, NEW YORK, NY 10013-4006
(718) 579-1724
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006765-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665274
—
NY
Enumeration date
03/24/2006
Last updated
05/07/2014
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