Provider Demographics
NPI:1457671646
Name:GREINER, ERIN (LPN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:GREINER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 MILTON TPKE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2278
Mailing Address - Country:US
Mailing Address - Phone:845-883-7929
Mailing Address - Fax:
Practice Address - Street 1:778 MILTON TPKE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2278
Practice Address - Country:US
Practice Address - Phone:845-883-7929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY294584-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse