Provider Demographics
NPI:1073284360
Name:GREENSTEIN, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:GREENSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3249
Mailing Address - Country:US
Mailing Address - Phone:917-864-0038
Mailing Address - Fax:
Practice Address - Street 1:151 LINDENWOOD RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-2715
Practice Address - Country:US
Practice Address - Phone:718-984-7091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-26
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist