# GREENRIDGE INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376664219
- **Authorized official:** DR. MORDCAI BLAU M.D, P.C (PLASTIC SURGEON)
- **Authorized official phone:** (914) 427-4700

## Contact information

- **Practice address:** 12 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1238
- **Practice address phone:** (914) 428-4700
- **Practice address fax:** (914) 428-6971
- **Mailing address:** 12 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1238
- **Mailing address phone:** (914) 428-4700
- **Mailing address fax:** (914) 428-6971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 135936-1 | NY | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020