Provider Demographics
NPI:1609270628
Name:GREER, ANDRE L
Entity Type:Individual
Prefix:MR
First Name:ANDRE
Middle Name:L
Last Name:GREER
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:PO BOX 8654
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07538-8654
Mailing Address - Country:US
Mailing Address - Phone:973-768-6098
Mailing Address - Fax:908-393-9959
Practice Address - Street 1:34 N17TH STREET
Practice Address - Street 2:
Practice Address - City:PROSPECT PARK
Practice Address - State:NJ
Practice Address - Zip Code:07508
Practice Address - Country:US
Practice Address - Phone:973-257-1218
Practice Address - Fax:973-257-1220
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker