Provider Demographics
NPI:1922251131
Name:GREINER, NEWTON W SR (DMIN DOCTOR OF MINI)
Entity Type:Individual
Prefix:DR
First Name:NEWTON
Middle Name:W
Last Name:GREINER
Suffix:SR
Gender:M
Credentials:DMIN DOCTOR OF MINI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 RT 3
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901
Mailing Address - Country:US
Mailing Address - Phone:518-562-0902
Mailing Address - Fax:518-566-6281
Practice Address - Street 1:880 RT 3
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901
Practice Address - Country:US
Practice Address - Phone:518-562-0902
Practice Address - Fax:518-566-6281
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000559106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist