Provider Demographics
NPI:1871856716
Name:GREENSTEIN, MICHELLE R (MS SPECIAL ED)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:R
Last Name:GREENSTEIN
Suffix:
Gender:F
Credentials:MS SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1113
Mailing Address - Country:US
Mailing Address - Phone:516-697-9382
Mailing Address - Fax:
Practice Address - Street 1:33 OHIO AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-1113
Practice Address - Country:US
Practice Address - Phone:516-697-9382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074907011174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist