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General NPI Number Information
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NPI Number | 1679040612
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Entity Type | Individual
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Provider Name | MARY K GREINER LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 1133 WESTCHESTER AVE STE N-230
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City | WHITE PLAINS
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State | NY
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Zip | 10604-3516
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Country | US
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Telephone | 914-576-5292
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Fax | 914-576-3983
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Provider Business Mailing Address
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Address Line | 1156 N BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-1108
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Country | US
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Telephone | 914-610-0163
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 07532-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 070532-1
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License Number State | NY
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