Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 092983-1 | NY |
NPI | 1093891475 |
---|---|
Provider Name | Dr. Greta M. Rainsford |
First Address | Hempstead, NY 11550-4658 |
Second Address | Hempstead, NY 11550-4658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2006 |
Last Update Date | 06/04/2011 |