Individual
TIMOTHY BRYAN GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 SWEET HOME RD STE 1, AMHERST, NY 14228-2783
(716) 481-0857
Mailing address
1793 MILITARY RD, KENMORE, NY 14217-1032
(716) 481-0857
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404534
NY
Other
Enumeration date
12/12/2022
Last updated
05/27/2023
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