Provider Demographics
NPI:1164552436
Name:GREER, TIRZA (MD)
Entity Type:Individual
Prefix:
First Name:TIRZA
Middle Name:
Last Name:GREER
Suffix:
Gender:F
Credentials:MD
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2532 GRAND CONCOURSE
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS 2ND FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-4902
Mailing Address - Country:US
Mailing Address - Phone:718-960-1500
Mailing Address - Fax:718-960-2176
Practice Address - Street 1:2532 GRAND CONCOURSE
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS 2ND FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-4902
Practice Address - Country:US
Practice Address - Phone:718-960-1500
Practice Address - Fax:718-960-1500
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY246022208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H19729Medicare UPIN