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NPI Code Detail

MEDICARE: DR. GARY GREENSTEIN D.C.

MEDICARE:  DR. GARY  GREENSTEIN  D.C.
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
1111N00000XChiropractor450CT

General Provider Information

NPI Number : 1447251087
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY GREENSTEIN D.C.
Provider Business Mailing Address
First Line : 3 LINDEN RD
Second Line :
City : WOODBURY
State : CT
Zip : 06798-2828
Country : US
Telephone Number : 203-263-4515
Fax Number : 203-263-4515
Provider Business Practice Location Address
First Line : 3 LINDEN RD
Second Line :
City : WOODBURY
State : CT
Zip : 06798-2828
Country : US
Telephone Number : 203-263-4515
Fax Number : 203-263-4515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GARY GREENSTEIN D.C.” Practice Location

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