Provider Demographics
NPI:1447487582
Name:GREENE, ROBIN J (MS)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:J
Last Name:GREENE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9587 BARLETTA WINDS PT
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9712
Mailing Address - Country:US
Mailing Address - Phone:561-637-0199
Mailing Address - Fax:
Practice Address - Street 1:9587 BARLETTA WINDS PT
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-9712
Practice Address - Country:US
Practice Address - Phone:561-637-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor