Provider Demographics
NPI:1356650923
Name:GREIN, ANA L (SLP CCC TSHH B EXT)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:L
Last Name:GREIN
Suffix:
Gender:F
Credentials:SLP CCC TSHH B EXT
Other - Prefix:MRS
Other - First Name:ANA
Other - Middle Name:L
Other - Last Name:HERNANDEZ-GREIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP CCC TSHH B EXT
Mailing Address - Street 1:95 OAK ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3409
Mailing Address - Country:US
Mailing Address - Phone:516-352-8759
Mailing Address - Fax:
Practice Address - Street 1:1326 PRESIDENT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4238
Practice Address - Country:US
Practice Address - Phone:718-756-8065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004742-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist