Doctor Name: | MICHELE GRIECO |
NPI Number: | 1841689825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 038447 |
Business Practice Address: | 45 Crossways Park Dr W Woodbury, NY - 117972037 |
Business Phone Number: | 5165362800 |
Business Fax Number: | 5169924637 |
Mailing Address: | 900 Walt Whitman Rd, Ste 310 MELVILLE |
State: | NY |
Postal Code: | 117472215 |
Phone Number: | 6319232288 |
Fax Number: | 6317146142 |
NPI Enumeration Date: | 01/14/2015 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 038447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |