Provider Demographics
NPI:1457475006
Name:GREENE, PATRICIA C (NP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:C
Last Name:GREENE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E 233RD ST. NEONATAL INTENSIVE CARE UNIT
Mailing Address - Street 2:MONTEFIORE NORTH DIVISION
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466
Mailing Address - Country:US
Mailing Address - Phone:718-920-9008
Mailing Address - Fax:
Practice Address - Street 1:600 E 233RD ST. NEONATAL INTENSIVE CARE UNIT
Practice Address - Street 2:MONTEFIORE NORTH DIVISION
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466
Practice Address - Country:US
Practice Address - Phone:718-920-9008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY350094363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal