Provider Demographics
NPI:1790195360
Name:GRECO, ESTHER LEE (DO)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:LEE
Last Name:GRECO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:LEE
Other - Last Name:HOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:911 BYPASS ROAD
Mailing Address - Street 2:PIKEVILLE MEDICAL CENTER RESIDENCY PROGRAM
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501
Mailing Address - Country:US
Mailing Address - Phone:606-218-3985
Mailing Address - Fax:606-218-4620
Practice Address - Street 1:911 BYPASS ROAD
Practice Address - Street 2:PIKEVILLE MEDICAL CENTER RESIDENCY PROGRAM
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501
Practice Address - Country:US
Practice Address - Phone:606-218-3985
Practice Address - Fax:606-432-5363
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY04011207P00000X, 207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program