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
Phone: (718) 470-8011
Fax: (718) 962-8537
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609931534 | NPPES |
| New York | MEDICAID | 01134523 |
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