Provider Demographics
NPI:1851634778
Name:GREEBEL, NANCY J (OTR)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:J
Last Name:GREEBEL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 LAFAYETTE PL
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2140
Mailing Address - Country:US
Mailing Address - Phone:516-356-1210
Mailing Address - Fax:516-374-5130
Practice Address - Street 1:112 LAFAYETTE PL
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2140
Practice Address - Country:US
Practice Address - Phone:516-356-1210
Practice Address - Fax:516-374-5130
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator