Provider Demographics
NPI:1629160585
Name:SUZANNE MARIE GREENIDGE, M.D, P.C.
Entity Type:Organization
Organization Name:SUZANNE MARIE GREENIDGE, M.D, P.C.
Other - Org Name:WOMAN TO WOMAN OB/GYN, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREENIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-375-2800
Mailing Address - Street 1:1020 NORTH BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701
Mailing Address - Country:US
Mailing Address - Phone:914-375-2800
Mailing Address - Fax:914-375-7329
Practice Address - Street 1:1020 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1303
Practice Address - Country:US
Practice Address - Phone:914-375-2800
Practice Address - Fax:914-375-7329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191103207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEZ661Medicare ID - Type UnspecifiedGROUP NUMBER