1649545617 NPI number — LAWRENCE GREITZER & VALERIE CURRY MDS

Table of content: DR. SALLY EMMA SMITH DO (NPI 1952896748)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649545617 NPI number — LAWRENCE GREITZER & VALERIE CURRY MDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAWRENCE GREITZER & VALERIE CURRY MDS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649545617
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/09/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29 JONES AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHATHAM
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12037-1136
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-392-2277
Provider Business Mailing Address Fax Number:
518-392-2277

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1301 RIVER ST
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
VALATIE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12184-9694
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-758-1551
Provider Business Practice Location Address Fax Number:
518-392-7883
Provider Enumeration Date:
03/09/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CURRY
Authorized Official First Name:
VALERIE
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PEDIATRICIAN
Authorized Official Telephone Number:
518-392-2277

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  226516 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02362518 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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