Renee Y Greene, AU.D.
Individual provider Active NPI Audiologist · Riverdale, NY
NPI 1699760595 · NPPES record last updated Mar 21, 2012
Key facts
- NPI
- 1699760595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 000122 (NY)
- Practice address
- 3725 Henry Hudson Pkwy
Suite 12B
Riverdale, NY 10463-1527 - Phone
- (718) 548-6583
- Fax
- (718) 548-0711
- NPI assigned
- Sep 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000122 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000122 | NY | Yes |
Addresses
Primary practice location
3725 Henry Hudson Pkwy
Suite 12B
Riverdale, NY 10463-1527
Mailing address
3725 Henry Hudson Pkwy
Suite 12B
Riverdale, NY 10463-1527
Phone (718) 548-6583
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02866668 | Medicaid | NY |
Other providers in Riverdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.