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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770607517 NPPES
New York Other 145830 VALUE OPTIONS

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