| NPI | 1629280862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M GREENE Physician 585-256-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 1638431) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 3043951) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |