Provider Demographics
NPI:1962730036
Name:GREENBERG, ADENA JOY (PHD)
Entity type:Individual
Prefix:DR
First Name:ADENA
Middle Name:JOY
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W 86TH ST
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3406
Mailing Address - Country:US
Mailing Address - Phone:212-362-2903
Mailing Address - Fax:212-496-7885
Practice Address - Street 1:145 W 86TH ST
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3406
Practice Address - Country:US
Practice Address - Phone:212-362-2903
Practice Address - Fax:212-496-7885
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6974103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist