Jack M Greenwood in Port Jefferson - Neurology With Special Qualifications In Child Neurology
Jack M Greenwood - NPI 1851396865
Jack M Greenwood is a Neurology With Special Qualifications In Child Neurology in Port Jefferson, New York. Jack M Greenwood practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Jack M Greenwood is 1851396865. The last update date is 2008-04-02.
Jack M Greenwood's current location address is 120 N Country Rd, Port Jefferson, New York. You can contact this provider via phone number 6314740444 and fax number 6319288605. The mailing address for Jack M Greenwood is 120 N Country Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack M Greenwood |
|---|---|
| Address | 120 N Country Rd, Port Jefferson, New York |
| Phone Number | 6314740444 |
| Fax Number | 6319288605 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1851396865 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 120 N Country Rd |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 1177726040 |
| Phone Number | 6314740444 |
| Fax Number | 6319288605 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 124686 |
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Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 664526 | NY | -- |
Post Comment/ Review Below
What is the Jack M Greenwood's 1851396865?
The Jack M Greenwood's NPI (National Provider Identifier) Number is 1851396865. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack M Greenwood located?
The Jack M Greenwood is located at 120 N Country Rd, Port Jefferson, NY 1177726040.
What is Jack M Greenwood's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack M Greenwood's specialized field of practice is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0402X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851396865 to Jack M Greenwood?
The Centers for Medicare & Medicaid Services originally issued the 1851396865 to Jack M Greenwood on 2005-06-16.
As of what date were the details related to Jack M Greenwood most recently updated or revised?
The information pertaining to Jack M Greenwood, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-02.