Individual
MR. DANA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DIP.MPT
Contact information
Practice address
1054 JAMES ST, SYRACUSE, NY 13203-2749
(315) 422-2912
(315) 422-3538
Mailing address
1054 JAMES ST, SYRACUSE, NY 13203-2749
(315) 422-2912
(315) 422-3538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0095411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095411
NY STATE LISENCE NUMBER
NY
Enumeration date
06/10/2005
Last updated
07/08/2007
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