Provider Demographics
NPI:1417169236
Name:GREENSTEIN & ASSOCIATES P C
Entity Type:Organization
Organization Name:GREENSTEIN & ASSOCIATES P C
Other - Org Name:METRO SPORT & SPINE REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:S
Authorized Official - Last Name:GREENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:240-766-0300
Mailing Address - Street 1:9300 LIVINGSTON RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4914
Mailing Address - Country:US
Mailing Address - Phone:240-766-0300
Mailing Address - Fax:240-766-0304
Practice Address - Street 1:4301 GARDEN CITY DIVE
Practice Address - Street 2:G104
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785
Practice Address - Country:US
Practice Address - Phone:301-577-1115
Practice Address - Fax:240-766-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
658264OtherCIGNA PPO
1080468OtherMDIPA
1080468OtherALLIANCE
MDKB80OtherBCBS OF MD
DCS826OtherBCBS OF NCA
1014415OtherASHN CIGNA HMO
1080468OtherOPTIMUM CHOICE
1080468OtherMAMSI
MDLL40OtherBCBS OF MD
2667462OtherAETNA HMO
5498755OtherAETNA PPO
=========OtherDEPT OF LABOR
DCS826OtherBCBS OF NCA