Provider Demographics
NPI:1306180864
Name:GREENWICH OCCUPATIONAL HEALTH SERVICES P.C.
Entity Type:Organization
Organization Name:GREENWICH OCCUPATIONAL HEALTH SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OCCUPATIONAL HEALTH SERVICE
Authorized Official - Prefix:MS
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:BOLDRIGHINI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:203-863-3907
Mailing Address - Street 1:2000 WESTCHESTER AVE
Mailing Address - Street 2:GREENWICH HOSPITAL HEALTH UNIT
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2530
Mailing Address - Country:US
Mailing Address - Phone:914-225-4167
Mailing Address - Fax:
Practice Address - Street 1:2000 WESTCHESTER AVE
Practice Address - Street 2:GREENWICH HOSPITAL HEALTH UNIT
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2530
Practice Address - Country:US
Practice Address - Phone:914-225-4167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health