Provider Demographics
NPI:1003069063
Name:GREENBERG, ANN P (BS,MS)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:P
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:BS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HERITAGE DR APT F
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5338
Mailing Address - Country:US
Mailing Address - Phone:845-634-4253
Mailing Address - Fax:
Practice Address - Street 1:35 HERITAGE DR APT F
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5338
Practice Address - Country:US
Practice Address - Phone:845-634-4253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist