Provider Demographics
NPI:1255377743
Name:GREENSEASONS, INC.
Entity type:Organization
Organization Name:GREENSEASONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANIEKAN
Authorized Official - Middle Name:
Authorized Official - Last Name:UMANAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-325-1123
Mailing Address - Street 1:1440 E GUN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3013
Mailing Address - Country:US
Mailing Address - Phone:718-325-1123
Mailing Address - Fax:718-325-1182
Practice Address - Street 1:3255 MICKLE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2715
Practice Address - Country:US
Practice Address - Phone:718-882-7214
Practice Address - Fax:718-882-7214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4772850002Medicare NSC