Greenwald, Blaine S

Greenwald, Blaine S is an sole proprietor health care provider with primary practice located at 7559 263Rd St , Glen Oaks NY 11004-1150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Greenwald, Blaine S can be contacted via phone (718) 470-8011.

Contact Information

Primary practice address
7559 263Rd St Glen Oaks NY 11004-1150
Fax: (718) 962-8537
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 141018 New York

Profile Details

NPI number 1609931534
LBN Legal business name Greenwald, Blaine S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
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 1609931534 NPPES
New York MEDICAID 01134523

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