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Jacquelyn Scott-Greaves

Specialist in Wingdale, NY. Individual provider (NPI-1).

NPI number1487909487
StatusActive
Last updated in NPPESJul 17, 2012

Details

NPI
1487909487
Entity type
Individual (NPI-1)
Name
Jacquelyn Scott-Greaves
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 17, 2012
Last updated
Jul 17, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

8 Nicole Ln
Wingdale, NY 12594-1343

Phone 917-716-8836

Mailing address

8 Nicole Ln
Wingdale, NY 12594-1343

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