Provider Demographics
NPI:1588739882
Name:GREENE, SHERRI J (DPM)
Entity type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:J
Last Name:GREENE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:928 BROADWAY STE 401
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-8150
Mailing Address - Country:US
Mailing Address - Phone:646-849-6444
Mailing Address - Fax:646-849-6445
Practice Address - Street 1:928 BROADWAY STE 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8150
Practice Address - Country:US
Practice Address - Phone:646-849-6444
Practice Address - Fax:646-849-6445
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN00592-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery