| Doctor Name: | COLLENE GRECO |
| NPI Number: | 1154422624 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | F301052 |
| Business Practice Address: | 180 E Pulaski Rd Huntington Station, NY - 117461915 |
| Business Phone Number: | 6314252235 |
| Business Fax Number: | 6314252296 |
| Mailing Address: | 180 E Pulaski Rd, HUNTINGTON STATION |
| State: | NY |
| Postal Code: | 117461915 |
| Phone Number: | 6314252235 |
| Fax Number: | 6314252296 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F301052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |