MEDICARE: MARISSA TRACY GREENBERG CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist
2	235Z00000X	Speech-Language Pathologist	14317721	NY

General Provider Information

NPI Number	:	1851826200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA TRACY GREENBERG CCC-SLP

Provider Business Mailing Address
First Line	:	1070 E 104TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1070 E 104TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4526
Country	:	US
Telephone Number	:	718-444-4316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2017
Last Update Date	:	07/09/2019

Similar Medicare Providers

1578820353 — NYC DEPARTMENT OF EDUCATION
Practice Location Address:

1070 E 104TH ST
BROOKLYN, NY
11236-4526

Practice Phone: 718-444-4090
Practice Fax:

1902522022 — ALLYSON MARIE KENNEDY M.S., CF-SLP
Practice Location Address:

1070 E 104TH ST
BROOKLYN, NY
11236-4526

Practice Phone: 718-444-4316
Practice Fax:

1285680496 — THOMAS FUCHS M.D.
Practice Location Address:

1153 58TH ST , BORO PARK PRIMARY MEDICAL PLLC
BROOKLYN, NY
11219-4526

Practice Phone: 718-431-9870
Practice Fax: 718-484-0236

1427100247 — FLATLANDS ORTHOPEDIC MEDICAL CARE, P.C.
Practice Location Address:

4526 FLATLANDS AVE
BROOKLYN, NY
11234-3011

Practice Phone: 718-759-9120
Practice Fax: 718-677-6538

1265635007 — RONALD S. CIACCIA OCCUPATIONAL THERAPIST P.C.
Practice Location Address:

8728 16TH AVE
BROOKLYN, NY
11214-4526

Practice Phone: 718-259-2618
Practice Fax: 718-259-2618

1598945032 — BORO PARK PRIMARY MEDICAL PLLC
Practice Location Address:

1153 58TH ST
BROOKLYN, NY
11219-4526

Practice Phone: 718-431-9870
Practice Fax:

Directions to “ MARISSA TRACY GREENBERG CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.