Individual
MRS. KATHLEEN J GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
4102 MURRAY RD, MORAVIA, NY 13118-3546
(315) 515-8496
Mailing address
4102 MURRAY RD, MORAVIA, NY 13118-3546
(315) 515-8496
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10218162
NY
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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