Provider Demographics
NPI:1295816262
Name:GREENBERGER, PEARL (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:PEARL
Middle Name:
Last Name:GREENBERGER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:PEARL
Other - Middle Name:
Other - Last Name:SCHECHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:255 W 88TH ST
Mailing Address - Street 2:8A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1716
Mailing Address - Country:US
Mailing Address - Phone:212-595-2901
Mailing Address - Fax:646-666-4201
Practice Address - Street 1:255 W 88TH ST
Practice Address - Street 2:8A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1716
Practice Address - Country:US
Practice Address - Phone:212-595-2901
Practice Address - Fax:646-666-4201
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075495-R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
75-3206284OtherEIN
75-3206284OtherEIN