Provider Demographics
NPI:1225093982
Name:GREENKY, SETH S (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:S
Last Name:GREENKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5719 WIDEWATERS PKWY
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13214-1880
Mailing Address - Country:US
Mailing Address - Phone:315-251-3100
Mailing Address - Fax:315-449-9923
Practice Address - Street 1:5100 W TAFT RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-3807
Practice Address - Country:US
Practice Address - Phone:315-452-2120
Practice Address - Fax:315-452-2118
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2018-04-06
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Provider Licenses
StateLicense IDTaxonomies
NY162177207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E16888Medicare UPIN