Provider Demographics
NPI:1235317199
Name:GREENSTEIN, IRENE (PT)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:
Last Name:GREENSTEIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2064 CROPSEY AVE
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6253
Mailing Address - Country:US
Mailing Address - Phone:718-975-9765
Mailing Address - Fax:718-975-8764
Practice Address - Street 1:3511 SHORE PKWY
Practice Address - Street 2:APT. 1B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2855
Practice Address - Country:US
Practice Address - Phone:718-974-7566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024716225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist