Most Relevant Information
Provider Data
| NPI Number: | 1003547647 |
| Provider Name: | MIKAYLA GREELEY |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 116403-01 |
Most Important Dates
| Enumeration Date: | 06/23/2022 |
| Last Updated: | 06/23/2022 |
Provider Practice Location
1 GUSTAVE L LEVY PL
NEW YORK
NY
100296504
Practice Location Phone/Fax
| Phone: | 2126588737 |
| Fax: |
Provider Mailing Location
1 GUSTAVE L LEVY PL
NEW YORK
NY
100296504
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |