Basic Information
Provider Information
NPI: 1689017758
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRECO
FirstName: ALLISON
MiddleName: ASHLEY
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 550 1ST AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100166402
CountryCode: US
TelephoneNumber: 2122635506
FaxNumber: 2159556410
Practice Location
Address1: 550 1ST AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100166402
CountryCode: US
TelephoneNumber: 2122635506
FaxNumber: 2159556410
Other Information
ProviderEnumerationDate: 04/09/2013
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X287588NYY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X287588NYN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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