1649545617 NPI number — LAWRENCE GREITZER & VALERIE CURRY MDS

Table of content: (NPI 1649545617)

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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