Provider Demographics
NPI:1437616448
Name:GREENBERG, ALISON (NP)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46896 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:BIG SUR
Mailing Address - State:CA
Mailing Address - Zip Code:93920-9693
Mailing Address - Country:US
Mailing Address - Phone:831-667-2580
Mailing Address - Fax:831-667-0184
Practice Address - Street 1:46896 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:BIG SUR
Practice Address - State:CA
Practice Address - Zip Code:93920-9693
Practice Address - Country:US
Practice Address - Phone:831-667-2580
Practice Address - Fax:831-667-0184
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022885207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03812122Medicaid