Provider Demographics
NPI:1811966906
Name:GRECO, ROBERT N (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:N
Last Name:GRECO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 ROBINSON AVE
Mailing Address - Street 2:C/O ORANGE RADIOLOGY ASSOCIATES, P.C.
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3353
Mailing Address - Country:US
Mailing Address - Phone:845-565-1989
Mailing Address - Fax:845-863-0072
Practice Address - Street 1:320 ROBINSON AVE
Practice Address - Street 2:C/O ORANGE RADIOLOGY ASSOCIATES, PC
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3353
Practice Address - Country:US
Practice Address - Phone:845-565-1989
Practice Address - Fax:845-863-0072
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2132132085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY300104713OtherRAILROAD MEDICARE
NY300097426OtherRAILROAD MEDICARE
NY300104705OtherRAILROAD MEDICARE
NY300095525OtherRAILROAD MEDICARE
NY300104706OtherRAILROAD MEDICARE
NY300104714OtherRAILROAD MEDICARE
NY01934629Medicaid
NY300104710OtherRAILROAD MEDICARE
NY300104709OtherRAILROAD MEDICARE
NY300104711OtherRAILROAD MEDICARE
NY300104712OtherRAILROAD MEDICARE
NY300104710OtherRAILROAD MEDICARE
NY695161Medicare ID - Type Unspecified