Provider Demographics
NPI:1275733271
Name:GREIF, DON MICHAEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:MICHAEL
Last Name:GREIF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 WEST 111TH ST
Mailing Address - Street 2:SUITE 5E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1805
Mailing Address - Country:US
Mailing Address - Phone:212-666-3550
Mailing Address - Fax:
Practice Address - Street 1:603 WEST 111TH ST
Practice Address - Street 2:SUITE 5E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1805
Practice Address - Country:US
Practice Address - Phone:212-666-3550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0093471103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical