MR. ALFRED LEVI GREENLEAF JR.


Address: 51 Maheu St, Bristol, CT 06010-3051
Phone: 8606202674

MR. ALFRED LEVI GREENLEAF JR. (NPI# 1710505284) 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) 1710505284
Entity Type Individual
Full Name MR. ALFRED LEVI GREENLEAF JR.
Practice Address 51 Maheu St
Bristol
CT 06010-3051
Mailing Address Po Box 3032
Bristol
CT 06011-3032
Practice Telephone 8606202674
Practice Fax Number 8605844612
Mailing Telephone 8606202674
Enumeration Date 2020-07-10
Last Update Date 2020-07-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 51 MAHEU ST
City BRISTOL
State CT
Zip Code 06010-3051

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City BRISTOL
Zip Code 06010

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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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