Provider Demographics
NPI:1891266078
Name:GARTENBERG, GREER ALAINA (NJ LAC)
Entity Type:Individual
Prefix:MISS
First Name:GREER
Middle Name:ALAINA
Last Name:GARTENBERG
Suffix:
Gender:F
Credentials:NJ LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 UNDERCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2175
Mailing Address - Country:US
Mailing Address - Phone:973-294-4050
Mailing Address - Fax:
Practice Address - Street 1:271 GROVE AVE STE C
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-1729
Practice Address - Country:US
Practice Address - Phone:201-340-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00134300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist