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NPI Code Detail

MEDICARE: MR. JEFF GREENLINGER

MEDICARE: MR. JEFF GREENLINGER
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
11041C0700XClinical Social WorkerR045951NY

General Provider Information

NPI Number : 1023083565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFF GREENLINGER
Provider Business Mailing Address
First Line : 2069 E 37TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4923
Country : US
Telephone Number : 646-261-9751
Fax Number :
Provider Business Practice Location Address
First Line : 595 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5239
Country : US
Telephone Number : 718-742-6017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 07/08/2007

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