Provider Demographics
NPI:1285257097
Name:GREENBERGS, INGUNA (RN)
Entity type:Individual
Prefix:
First Name:INGUNA
Middle Name:
Last Name:GREENBERGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 E 13TH ST APT E10
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1933
Mailing Address - Country:US
Mailing Address - Phone:646-684-9254
Mailing Address - Fax:
Practice Address - Street 1:11215 72ND RD STE LL1
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4600
Practice Address - Country:US
Practice Address - Phone:718-261-3437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY650189163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse