Healthcare Provider Details

I. General information

NPI: 1851153704
Provider Name (Legal Business Name): GREENPOINT MEDICAL SERVICES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 E LOOP RD STE 381
NEW YORK NY
10044-1500
US

IV. Provider business mailing address

1 BROOK ST APT 1R
BROOKLINE MA
02445-6972
US

V. Phone/Fax

Practice location:
  • Phone: 347-915-6302
  • Fax:
Mailing address:
  • Phone: 347-915-6302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEX MOHSENI
Title or Position: PRESIDENT
Credential: MD
Phone: 301-706-4461