Provider Demographics
NPI:1124362702
Name:DEL GRECO, BRIANNE N
Entity Type:Individual
Prefix:MRS
First Name:BRIANNE
Middle Name:N
Last Name:DEL GRECO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 DAVID DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-6501
Mailing Address - Country:US
Mailing Address - Phone:845-489-0583
Mailing Address - Fax:845-723-4522
Practice Address - Street 1:56 DAVID DRIVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-6501
Practice Address - Country:US
Practice Address - Phone:845-489-0583
Practice Address - Fax:845-723-4522
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator