Provider Demographics
NPI:1154478287
Name:GREANY, MICHAEL PHILIP (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PHILIP
Last Name:GREANY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3702
Mailing Address - Country:US
Mailing Address - Phone:845-425-6288
Mailing Address - Fax:845-425-1915
Practice Address - Street 1:265 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3702
Practice Address - Country:US
Practice Address - Phone:845-425-6288
Practice Address - Fax:845-425-1915
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor