Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 226186 | NY |
NPI | 1821227646 |
---|---|
Provider Name | John Murray Greally |
First Address | Bronx, NY 10461 |
Second Address | Bronx, NY 10467-2403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2009 |
Last Update Date | 14/07/2009 |