| NPI | 1336117050 |
|---|---|
| Former Name | CHARLENE MARIE GREELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 046857) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 46857) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2023-07-07 |