Provider Demographics
NPI:1003904681
Name:GREANEY, PATRICK JOSEPH JR (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JOSEPH
Last Name:GREANEY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 W RIDGEWOOD AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2361
Mailing Address - Country:US
Mailing Address - Phone:201-444-9522
Mailing Address - Fax:201-444-9277
Practice Address - Street 1:1 W RIDGEWOOD AVE STE 110
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2361
Practice Address - Country:US
Practice Address - Phone:201-444-9522
Practice Address - Fax:201-444-9277
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2024-05-22
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Provider Licenses
StateLicense IDTaxonomies
NY243488208200000X
PAMD424549208200000X
NJ25MA08971900208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery