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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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