ROBERTA GREENGOLD


Address: 412 4th St, Brooklyn, NY 11215-2902
Phone: 7187688667

ROBERTA GREENGOLD (NPI# 1114319399) 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) 1114319399
Entity Type Individual
Full Name ROBERTA GREENGOLD
Practice Address 412 4th St
Brooklyn
NY 11215-2902
Practice Telephone 7187688667
Mailing Telephone 7187688667
Enumeration Date 2015-02-25
Last Update Date 2019-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
401743 NY Physician Assistants & Advanced Practice Nursing Providers
N 364SP0810X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Child & Family
F401723-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 412 4TH ST
City BROOKLYN
State NY
Zip Code 11215-2902

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1972066884 Nourhan Arafa Kika Student in an Organized Health Care Education/Training Program Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 2019-04-08
1891258703 Mountasir El-tohami Student in an Organized Health Care Education/Training Program New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 2019-04-08
1386106938 Anita Krish Student in an Organized Health Care Education/Training Program Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 2019-04-03
1497237549 Elizabeth Hopkins Social Worker 439 9th Street, Suite 1a, Brooklyn, NY 11215 2018-09-05
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11215

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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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