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NPI Code Detail

MEDICARE: MS. GAIL GLENIS GREENIDGE LMSW

MEDICARE:  MS. GAIL GLENIS GREENIDGE  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker128079NY

General Provider Information

NPI Number : 1831058247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GAIL GLENIS GREENIDGE LMSW
Provider Business Mailing Address
First Line : 3422 GLENWOOD RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2726
Country : US
Telephone Number : 718-314-4674
Fax Number :
Provider Business Practice Location Address
First Line : 3422 GLENWOOD RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2726
Country : US
Telephone Number : 718-314-4674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ MS. GAIL GLENIS GREENIDGE LMSW” Practice Location

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