Organization
TIMOTHY J. GREENAN, M.D. P.C.
Active
Organization
TIMOTHY J. GREENAN, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J GREENAN M.D. (MEDICAL DIRECTOR)
(845) 692-9730
Entity
Organization
Contact information
Practice address
779 ROUTE 211 E, MIDDLETOWN, NY 10941-1459
(845) 692-9730
(845) 692-9746
Mailing address
779 ROUTE 211 E, MIDDLETOWN, NY 10941-1459
(845) 692-9730
(845) 692-9746
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001873220
—
PA
05
—
02760456
—
NY
01
—
CH9051
MEDICARE RAILROAD
NY
01
—
CJ2260
MEDICARE RAILROAD
NY
01
—
CJ2263
MEDICARE RAILROAD
NY
Enumeration date
06/11/2006
Last updated
12/11/2007
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