Provider Demographics
NPI:1942382114
Name:GREENSTEIN, STUART M (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:M
Last Name:GREENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:684 WINTHROP RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2269
Mailing Address - Country:US
Mailing Address - Phone:917-817-1215
Mailing Address - Fax:
Practice Address - Street 1:100 WOODS RD FL ACP3
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-8916
Practice Address - Fax:914-493-7595
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162733208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery