Healthcare Provider Details

I. General information

NPI: 1154856425
Provider Name (Legal Business Name): AARON GREENSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2017
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 ADAMS ST. STE. 201
DENVER CO
80206
US

IV. Provider business mailing address

162 ADAMS ST. STE. 201
DENVER CO
80206
US

V. Phone/Fax

Practice location:
  • Phone: 303-642-6072
  • Fax:
Mailing address:
  • Phone: 303-642-6072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0069594
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number0069594
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: