Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 020387-1 | NY |
NPI | 1427233469 |
---|---|
Provider Name | Jennifer A Greene |
First Address | Buffalo, NY 14222-2006 |
Second Address | Buffalo, NY 14222-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2008 |
Last Update Date | 09/01/2008 |