Mary Ellen Greco
Surgeon Surgical Critical Care
4900 Broad Rd Suite 1d
Syracuse
, New York 13215-2265
Mary Ellen Greco
Surgeon Surgical Critical Care
4900 Broad Rd Suite 1d
Syracuse
, New York 13215-2265
(315) 492-3571
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Mary Ellen Greco
- 4900 Broad Rd Suite 1d
- Syracuse, NY
- Zip : 13215-2265
- Fax : (315) 492-3571
- Phone : (315) 492-5660
Second Address
- Mary Ellen Greco
- 4900 Broad Rd Suite 1d
- Syracuse, NY
- Zip : 13215-2265
- Fax : (315) 492-3571
- Phone : (315) 492-5660
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Is Mary Ellen Greco a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 2038771 | NY |
| Y | 208600000X | Surgeon | 2038771 | NY |
| N | 2086S0102X | Surgical Critical Care | 2038771 | NY |
National Provider Identifier
| NPI | 1194899310 |
|---|---|
| Provider Name | Mary Ellen Greco |
| First Address | Syracuse, NY 13215-2265 |
| Second Address | Syracuse, NY 13215-2265 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2006 |
| Last Update Date | 05/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CC4129 | (05) | NY |
| G35225 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.