Provider Demographics
NPI:1699764753
Name:DR JOSEPH GREER AND DR MITCHEL CHARNAS
Entity type:Organization
Organization Name:DR JOSEPH GREER AND DR MITCHEL CHARNAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHARNAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-683-2530
Mailing Address - Street 1:200 MADISON AVENUE
Mailing Address - Street 2:SUITE 2201
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-683-2530
Mailing Address - Fax:212-684-7162
Practice Address - Street 1:200 MADISON AVENUE
Practice Address - Street 2:SUITE 2201
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-683-2530
Practice Address - Fax:212-684-7162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032885-31223E0200X
NY024929-11223G0001X
NY036100-11223G0001X
NY044865-11223G0001X
NY051906-11223G0001X
NY0421151223P0300X
NY0504871223S0112X
NY293308124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
Not Answered1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
Not Answered124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty