Mason Greving, PA-C
Physician Assistant, Medical in New York, NY. Individual provider (NPI-1).
NPI number1619703378
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1619703378
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mason Greving
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2024
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
170 William StNew York, NY 10038-2612
Phone 212-312-5000
Mailing address
520 47th StWestern Springs, IL 60558-1659
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