Provider Demographics
NPI:1225913825
Name:GREENE, EMILEE (MSED)
Entity type:Individual
Prefix:MISS
First Name:EMILEE
Middle Name:
Last Name:GREENE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 HIGH BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEEDSPORT
Mailing Address - State:NY
Mailing Address - Zip Code:13166-9651
Mailing Address - Country:US
Mailing Address - Phone:315-592-1540
Mailing Address - Fax:
Practice Address - Street 1:2518 HIGH BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WEEDSPORT
Practice Address - State:NY
Practice Address - Zip Code:13166-9651
Practice Address - Country:US
Practice Address - Phone:315-592-1540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist