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Organization
GREENWICH HOUSE INC
Active
Organization
GREENWICH HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY LEAVITT (EXECUTIVE DIRECTOR/CEO)
(212) 991-0003
Entity
Organization
Contact information
Practice address
122 WEST 27TH STREET, 6TH FLOOR, NEW YORK, NY 10001
(212) 691-2900
(212) 675-2985
Mailing address
27 BARROW STREET, NEW YORK, NY 10014-3823
(212) 991-0003
(212) 366-4226
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
210573
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
136328
NY
261QP2300X
Primary Care Clinic/Center
211187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244468
—
NY
05
—
00244477
—
NY
05
—
01447694
—
NY
Enumeration date
03/26/2007
Last updated
06/24/2015
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