Greco, Mary Ellen

Greco, Mary Ellen is an individual health care provider with primary practice located at 4900 Broad Rd Suite 1D, Syracuse NY 13215-2265. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Greco, Mary Ellen can be contacted via phone (315) 492-5660.

Contact Information

Primary practice address
4900 Broad Rd Suite 1D Syracuse NY 13215-2265
Phone: (315) 492-5660
Fax: (315) 492-3571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2038771 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2038771 New York

Profile Details

NPI number 1194899310
LBN Legal business name Greco, Mary Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194899310 NPPES
New York MEDICAID CC4129

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