GREENE FAMILY MEDICINE, PLLC (NPI# 1528216835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528216835 |
| Entity Type | Organization |
| Organization Name | GREENE FAMILY MEDICINE, PLLC |
| Practice Address |
29 N Chenango St Greene NY 13778-1139 |
| Mailing Address |
20 N Chenango St Greene NY 13778-1131 |
| Practice Telephone | 6074274588 |
| Practice Fax Number | 6076565015 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | DR. MARJORIE KETZAK (OWNER) |
| Authorized Official Telephone | 6074274588 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NY | Ambulatory Health Care Facilities |
| Street Address |
29 N CHENANGO ST |
| City | GREENE |
| State | NY |
| Zip Code | 13778-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684159 | Marjorie Ketzak | Family Medicine | 29 N Chenango St, Suite A, Greene, NY 13778-1154 | 2005-07-28 |
| 1225685159 | Mary Imogene Bassett Hospital | Clinic/Center | 29 N Chenango St, Greene, NY 13778-1154 | 2019-08-26 |
| 1902938012 | Lange and Viglucci Optometrists | Optometrist | 29 N Chenango St, Greene, NY 13778-1139 | 2007-03-12 |
| 1346371986 | Joseph Earl Nelson | Dentist | 29 N Chenango St, Greene, NY 13778-1139 | 2007-03-07 |
| 1043306350 | Michael J Lange | Optometrist | 29 N Chenango St, Greene, NY 13778-1139 | 2006-10-05 |
| 1124114442 | Chris J Viglucci | Optometrist | 29 N Chenango St, Greene, NY 13778-1139 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841547361 | Lindsey Mae Weeks | Registered Nurse | 29 N Chenango St Ste A, Greene, NY 13778 | 2012-08-15 |
| 1881881597 | Matthew John Franco | Massage Therapist | 80 Genesee St, Greene, NY 13778 | 2007-09-26 |
| 1841349289 | Greene Central School District | Local Education Agency (LEA) | 40 S. Canal Street, Greene, NY 13778 | 2007-01-08 |
| 1528310745 | Dana Staley | Physical Therapist | 6 Locust St, Greene, NY 13778-1018 | 2012-10-11 |
| 1750644936 | Kay A Clark | Specialist | 114 Cutler Rd, Greene, NY 13778-1029 | 2012-06-21 |
| 1134379050 | Melissa Marie Collins | Licensed Practical Nurse | 50 Birdsall St, Greene, NY 13778-1049 | 2008-09-28 |
| 1043241599 | Greene Emergency Squad Inc | Ambulance | 30 Birdsall St, Greene, NY 13778-1050 | 2006-07-05 |
| 1356341622 | Martin Masarech | Family Medicine | 15 Birdsall St, Greene, NY 13778-1057 | 2005-07-28 |
| 1063896728 | Sarah Lane | Nurse Practitioner | 15 Birdsall St, Greene, NY 13778-1057 | 2015-07-13 |
| 1578990461 | Genevieve Romano-helm | Nurse Practitioner | 15 Birdsall St, Greene, NY 13778-1057 | 2013-10-09 |
| Find all providers in zip 13778 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.