Provider Demographics
NPI:1144613985
Name:BREWSTER-GREENSTEIN, ADIEL CORY
Entity Type:Individual
Prefix:
First Name:ADIEL
Middle Name:CORY
Last Name:BREWSTER-GREENSTEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CORY
Other - Middle Name:
Other - Last Name:BREWSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19 COVE RD
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-2503
Mailing Address - Country:US
Mailing Address - Phone:443-525-7944
Mailing Address - Fax:
Practice Address - Street 1:19 COVE RD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-2503
Practice Address - Country:US
Practice Address - Phone:443-525-7944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246RP1900X, 246YC3302X, 247200000X, 174400000X, 171M00000X, 171W00000X, 173000000X, 172V00000X, 174H00000X, 246QL0900X, 246RM2200X, 174V00000X
MD101Y00000X
ALT50034183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor
No173000000XOther Service ProvidersLegal Medicine
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No183700000XPharmacy Service ProvidersPharmacy Technician
No246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory
No174V00000XOther Service ProvidersClinical Ethicist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD47-3020120OtherCOMPREHENSIVE HEALTHCARE, LLC