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Dr. Jack M Greenwood, MD
Neurology with Special Qualifications in Child Neurology Physician in Port Jefferson, New York
NPI 1851396865

Jack M Greenwood is a Neurology with Special Qualifications in Child Neurology Physician based in Port Jefferson, NY and is specialized in Neurology with Special Qualifications in Child Neurology. Jack M Greenwood practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Jack M Greenwood is 1851396865 and holds a License No. 124686 (New York).

The current practice location address for Jack M Greenwood is 120 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-474-0444 and via fax at 631-928-8605.

Location: 120 N Country Rd, Port Jefferson, NY, 11777-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851396865
Provider Name
Jack M Greenwood
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
120 N Country Rd, Port Jefferson, NY, 11777-2604
Phone Number
631-474-0444
Fax Number
631-928-8605
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00664526 05 NY
institution
Provider Business Practice Location Address Details
Address
120 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2604
Phone Number
631-474-0444
Fax Number
631-928-8605
person
Provider Business Mailing Address Details
Address
120 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2604
Phone Number
631-474-0444
Fax Number
631-928-8605
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
124686 (New York)
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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