Provider Demographics
NPI:1508297318
Name:CONSING, GRECO
Entity Type:Individual
Prefix:
First Name:GRECO
Middle Name:
Last Name:CONSING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 BRONX RIVER RD APT A41
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-7943
Mailing Address - Country:US
Mailing Address - Phone:914-707-3187
Mailing Address - Fax:
Practice Address - Street 1:790 BRONX RIVER RD APT A41
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-7943
Practice Address - Country:US
Practice Address - Phone:914-707-3187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3123291164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse