Provider Demographics
NPI:1598137804
Name:GREENBERG, AARON
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 E 99TH ST
Mailing Address - Street 2:APT A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6762
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:159 E 99TH ST
Practice Address - Street 2:APT A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6762
Practice Address - Country:US
Practice Address - Phone:646-765-7295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY695964-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse