Individual
MR. KENNETH S GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
336 W END AVE, SUITE 19A, NEW YORK, NY 10023-8116
(212) 724-5510
(212) 724-5510
Mailing address
336 W END AVE, SUITE 19A, NEW YORK, NY 10023-8116
(212) 724-5510
(212) 724-5510
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
R071074-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R071074-1
NEW YORK STATE
NY
Enumeration date
05/10/2007
Last updated
10/20/2009
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