Provider Demographics
NPI:1639726888
Name:GREENE, NUR ABIR (MA)
Entity type:Individual
Prefix:
First Name:NUR
Middle Name:ABIR
Last Name:GREENE
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 WAYNE AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-3473
Mailing Address - Country:US
Mailing Address - Phone:302-468-7869
Mailing Address - Fax:
Practice Address - Street 1:8500 GERMANTOWN AVE FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3317
Practice Address - Country:US
Practice Address - Phone:215-970-9490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional