Provider Demographics
NPI:1013712439
Name:GREENE, YVONNE
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:GREENE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205-0202
Mailing Address - Country:US
Mailing Address - Phone:315-863-6938
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 202
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13205-0202
Practice Address - Country:US
Practice Address - Phone:315-863-6938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide