Individual
DR. FAYRISA ILANA GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 997-4875
Mailing address
10 BYRON PL UNIT 712, LARCHMONT, NY 10538-1990
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
285399
NY
2084P0804X
Child & Adolescent Psychiatry Physician
285399
NY
Other
Enumeration date
05/08/2015
Last updated
07/30/2022
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