National Provider Identifier

Jelani K Greene, DPT

Jelani K Greene, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 873-9154.

NPI 1588496541Kenmore, NYPhysical Therapist

Profile Overview

NPI
1588496541
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 19, 2024
Last Updated
August 28, 2024

Practice Location

  • 2438 Elmwood Ave
  • Kenmore, NY 14217-2244

Phone: (716) 873-9154

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1588496541
Entity Type
Individual
Last Name
Greene
First Name
Jelani
Middle Name
K
Name Prefix
Dr.
Credential
DPT
Mailing Street Address
2438 Elmwood Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2244
Mailing Country
US
Mailing Phone
(716) 873-9154
Mailing Fax
(716) 873-9154
Practice Street Address
2438 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2244
Practice Country
US
Practice Phone
(716) 873-9154
Practice Fax
(716) 873-9154
Enumeration Date
August 19, 2024
Last Updated
August 28, 2024
Sex
Male
Sole Proprietor
No
Certification Date
August 28, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)