Individual
CONSTANCE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6000 N BAILEY AVE, SUITE 1C, AMHERST, NY 14226-5102
(716) 834-4522
Mailing address
824 OAKWOOD AVE, EAST AURORA, NY 14052-2618
(716) 652-9392
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
182221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010068306
BLUE SHIELD WNY
NY
01
—
000511389008
UNIVERA
NY
01
—
1209872
INDEPENDENT HEALTH
NY
Enumeration date
11/29/2006
Last updated
07/08/2007
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