Greenberg, Barry S
Greenberg, Barry S is an sole proprietor health care provider with primary practice located at 646 Main Street , Port Jefferson NY 11777. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Greenberg, Barry S can be contacted via phone (631) 474-5341.Contact Information
Primary practice address
646 Main Street
Port Jefferson NY 11777
Phone: (631) 474-5341
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 009517 | New York |
Profile Details
| NPI number | 1770607517 |
|---|---|
| LBN Legal business name | Greenberg, Barry S |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770607517 | NPPES |
| New York | Other | 145830 | VALUE OPTIONS |
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