| Greene Family Medicine, Pllc | |
|
29 N Chenango St Greene NY 13778-1139 | |
| (607) 427-4588 | |
| (607) 656-5015 |
| Full Name | Greene Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 29 N Chenango St, Greene, New York |
| Authorized Official Name and Position | Marjorie Ketzak (OWNER) |
| Authorized Official Contact | 6074274588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene Family Medicine, Pllc 20 N Chenango St Greene NY 13778-1131 Ph: () - | Greene Family Medicine, Pllc 29 N Chenango St Greene NY 13778-1139 Ph: (607) 427-4588 |
| NPI Number | 1528216835 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 08/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528216835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (New York) | Primary |
Mary Imogene Bassett Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 N Chenango St, Greene, NY 13778 Phone: 607-875-4334 Fax: 888-603-9093 |