Provider Demographics
NPI:1194523688
Name:GREENBERG, ANTONIA MALI
Entity type:Individual
Prefix:
First Name:ANTONIA
Middle Name:MALI
Last Name:GREENBERG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 STANTON RD APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6889
Mailing Address - Country:US
Mailing Address - Phone:347-601-0356
Mailing Address - Fax:
Practice Address - Street 1:20 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3404
Practice Address - Country:US
Practice Address - Phone:508-650-0991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health