Basic Information
| Provider Information | |||||||||
| NPI: | 1649545617 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LAWRENCE GREITZER & VALERIE CURRY MDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29 JONES AVE | ||||||||
| Address2: | |||||||||
| City: | CHATHAM | ||||||||
| State: | NY | ||||||||
| PostalCode: | 120371136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5183922277 | ||||||||
| FaxNumber: | 5183922277 | ||||||||
| Practice Location | |||||||||
| Address1: | 1301 RIVER ST | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | VALATIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 121849694 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5187581551 | ||||||||
| FaxNumber: | 5183927883 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2012 | ||||||||
| LastUpdateDate: | 03/09/2012 | ||||||||
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| AuthorizedOfficialLastName: | CURRY | ||||||||
| AuthorizedOfficialFirstName: | VALERIE | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | PEDIATRICIAN | ||||||||
| AuthorizedOfficialTelephone: | 5183922277 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 226516 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 02362518 | 05 | NY | MEDICAID |