Provider Demographics
NPI:1235219791
Name:GREENSEID, KERI L (MD)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:L
Last Name:GREENSEID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:140 EAST RIDGEWOOD AVENUE
Mailing Address - Street 2:SUITE 590 S
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652
Mailing Address - Country:US
Mailing Address - Phone:973-322-8286
Mailing Address - Fax:973-322-8890
Practice Address - Street 1:140 EAST RIDGEWOOD AVENUE
Practice Address - Street 2:SUITE 590 S
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-963-7640
Practice Address - Fax:201-204-9319
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY231750207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology