Doctor Name: | MR. WILLIAM A GREENE |
NPI Number: | 1205106846 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS LMT |
License Number: | 0222591 |
Business Practice Address: | 154 Pearl St Batavia, NY - 140202914 |
Business Phone Number: | 5859935368 |
Business Fax Number: | |
Mailing Address: | 2599 Elmwood Ave, 12 Corners Brighton ROCHESTER |
State: | NY |
Postal Code: | 146182210 |
Phone Number: | 5859430722 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2012 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0222591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |