DR. PAUL GREENE


Address: 5110 12th Ave, Brooklyn, NY 11219-3424
Phone: 7188548370

DR. PAUL GREENE (NPI# 1184664104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184664104
Entity Type Individual
Full Name DR. PAUL GREENE
Credential PHD
Practice Address 5110 12th Ave
Brooklyn
NY 11219-3424
Practice Telephone 7188548370
Practice Fax Number 7188548369
Mailing Telephone 7188548370
Mailing Fax Number 7188548369
Enumeration Date 2006-06-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
016452 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02691138 05

Other Providers PAUL GREENE

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1275591331 Paul T Greene Jr. Chiropractor 2100 Kansas Ave, Great Bend, KS 67530-2516 2006-05-01
1073824769 Paul F Greene Physical Therapist 1400 Bellinger St, Eau Claire, WI 54703 2010-06-28
1831112564 Paul J Greene Family Medicine 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085 2006-07-25

Office Location

Street Address 5110 12TH AVE
City BROOKLYN
State NY
Zip Code 11219-3424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467403105 Johna Ann Pointek Psychologist 5110 12th Ave, Brooklyn, NY 11219-3424 2006-05-15
1336441492 Anthony Keane Waters Psychologist 5110 12th Ave, Brooklyn, NY 11219-3424 2010-11-23
1003118118 Kimberly Partington Specialist 5110 12th Ave, Brooklyn, NY 11219-3424 2010-11-22
1043512221 Margarita Bougioukas Adelsky Psychologist 5110 12th Ave, Brooklyn, NY 11219-3424 2010-11-22
1215247549 Mark V.f. Johnson Psychologist 5110 12th Ave, Brooklyn, NY 11219-3424 2010-10-20
1871801571 Anthony M Lauricella Psychologist 5110 12th Ave, Brooklyn, NY 11219-3424 2010-09-16
1114235801 Nancy Catherine Botyanski Psychologist 5110 12th Ave, Brooklyn, NY 11219-3424 2010-09-16
1578879136 Sara Morse Frankie Psychologist 5110 12th Ave, Brooklyn, NY 11219-3424 2010-08-20
1821302787 Lynn Seskin Psychologist 5110 12th Ave, Brooklyn, NY 11219-3424 2010-08-03
1417274440 Eriko M. Lapoint Psychologist 5110 12th Ave, Brooklyn, NY 11219-3424 2010-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1528614559 Jonathan Benjamin Goldstein Specialist Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 2019-08-15
1235782301 Vanessa Walton Social Worker 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 2019-07-18
1083184618 Sandra Murray Licensed Practical Nurse 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 2018-11-27
1023588746 Wanipa Muwowo-nwade Physician Assistant 4802 10th Ave Rm 301, Brooklyn, NY 11219 2018-11-26
1366919896 Evelin Ponce Licensed Practical Nurse 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 2018-11-02
1083180301 Yefim Simkhayev Occupational Therapist 1317 52nd St, Brooklyn, NY 11219 2018-10-15
1598240186 F & D Pharmacy Inc Pharmacy 5504 -13 Ave, Brooklyn, NY 11219 2018-09-28
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1548873516 James Delrey Grimaldi Psychologist 81 77th St, Brooklyn, NY 11209-2920 2020-08-28
1205445855 Virtue Sankoh Psychologist 8 Vanderbilt Ave Apt 12a, Brooklyn, NY 11205-1226 2020-07-29
1053957662 Rebecca Brodoff Psychologist 3692 Bedford Ave Ste P2, Brooklyn, NY 11229-1702 2019-11-19
1225671985 Kenji Takeda Psychologist 68 35th St Unit 4, Brooklyn, NY 11232-2211 2019-10-24
1497397608 Heidi Cox Psychologist 540 President St Fl 3, Brooklyn, NY 11215-1493 2019-10-09
1801352281 Philip Jay Bender Psychologist 50 Ocean Pkwy Apt 6k, Brooklyn, NY 11218-1539 2019-02-11
1205328010 Groundwork Therapy Psychological Services, Pllc Psychologist 1000 Dean Street, Suite 226, Brooklyn, NY 11238 2018-06-06
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Competitor

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City BROOKLYN
Zip Code 11219

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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