Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | MD | |
N | 174V00000X | Clinical Ethicist |
NPI | 1144613985 |
---|---|
Provider Name | Adiel Cory Brewster-Greenstein |
First Address | Rhinebeck, NY 12572-2503 |
Second Address | Rhinebeck, NY 12572-2503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2015 |
Last Update Date | 11/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47-3020120 | COMPREHENSIVE HEALTHCARE, LLC (01) | MD |