Doctor Name: | LAEL GREENSTEIN |
NPI Number: | 1164867701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MT203553 |
Business Practice Address: | 1260 E Woodland Ave Suite 200 Springfield, PA - 190643969 |
Business Phone Number: | 6106904490 |
Business Fax Number: | 6103289391 |
Mailing Address: | Po Box 8500-6355, PHILADELPHIA |
State: | PA |
Postal Code: | 191780001 |
Phone Number: | 6104977520 |
Fax Number: | 6104977525 |
NPI Enumeration Date: | 05/09/2013 |
NPI Last Update Date: | 05/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT203553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |