Healthcare Provider Details

I. General information

NPI: 1558287912
Provider Name (Legal Business Name): ARIEL GREENBERG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 FRANKLIN AVE STE 112
GARDEN CITY NY
11530-5814
US

IV. Provider business mailing address

233 HUNTLEY RD
WOODMERE NY
11598-2514
US

V. Phone/Fax

Practice location:
  • Phone: 516-210-5023
  • Fax:
Mailing address:
  • Phone: 516-330-0473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number312891
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: