Provider Demographics
NPI:1891779351
Name:GREER, KAREN JOSETTE (MD)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:JOSETTE
Last Name:GREER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4422 3RD AVE
Mailing Address - Street 2:MILLS BUILDING, 4TH FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-2545
Mailing Address - Country:US
Mailing Address - Phone:718-960-9131
Mailing Address - Fax:718-960-3792
Practice Address - Street 1:4422 3RD AVE
Practice Address - Street 2:MILLS BUILDING, 4TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2545
Practice Address - Country:US
Practice Address - Phone:718-960-9131
Practice Address - Fax:718-960-3792
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2011-03-30
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Provider Licenses
StateLicense IDTaxonomies
NY213862208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01986103Medicaid