Provider Demographics
NPI:1063627347
Name:GREUNER, DAVID ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTHONY
Last Name:GREUNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28124
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-8124
Mailing Address - Country:US
Mailing Address - Phone:888-286-6600
Mailing Address - Fax:800-565-9415
Practice Address - Street 1:14 E 60TH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1006
Practice Address - Country:US
Practice Address - Phone:888-286-6600
Practice Address - Fax:800-565-9415
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247175208600000X
CT044519208600000X
NJ25MA08845600208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery