Provider Demographics
NPI:1033757497
Name:VALARIE C GRECO LCSW PLLC
Entity Type:Organization
Organization Name:VALARIE C GRECO LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:VALARIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:GRECO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-297-5081
Mailing Address - Street 1:61 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3207
Mailing Address - Country:US
Mailing Address - Phone:917-297-5081
Mailing Address - Fax:
Practice Address - Street 1:2153 RICHMOND AVE STE 402B
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3935
Practice Address - Country:US
Practice Address - Phone:917-297-5081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health