Mary Ellen Greco MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

203877 Issued in NY

Legal business name

MARY ELLEN GRECO MD PC

Practice address

725 Irving Ave
Suite 314
Syracuse, NY 13210-1603

Phone

(315) 470-7942

Fax

(315) 470-2722

NPI assigned

Jul 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Ellen Greco, MD

Title

Owner/ Physician

Phone

(315) 470-7942

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1205090735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 314",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-470-7942",
            "fax_number": "315-470-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 314",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-470-7942",
            "fax_number": "315-470-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELLEN GRECO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "315-470-7942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "203877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle May Martuscello
• James Marusich, DDS
• Mehdi A Marvasti, MD
• Matthew E Marvel, M.D.
• Eden Segall Marx, MD
• Kathryn Marzeski, OTR/L
• Jennifer C Marziale, MD
• Haidy Adly Marzouk, M.D.
• Mark Marzouk, MD
• Natalie Mash

• Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.