| Doctor Name: | STANLEY GREENBERG |
| NPI Number: | 1083863674 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D |
| License Number: | 003840-1 |
| Business Practice Address: | 89 S Route 9w Haverstraw, NY - 109271700 |
| Business Phone Number: | 8454294300 |
| Business Fax Number: | 8454296267 |
| Mailing Address: | 1 Old Country Rd, Suite 271 CARLE PLACE |
| State: | NY |
| Postal Code: | 115141801 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2008 |
| NPI Last Update Date: | 09/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 003840-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |