Provider Demographics
NPI:1609228519
Name:GREENSTEIN, DANIEL (MS)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:GREENSTEIN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BUENA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2912
Mailing Address - Country:US
Mailing Address - Phone:860-778-5607
Mailing Address - Fax:
Practice Address - Street 1:7 BUENA VISTA RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2912
Practice Address - Country:US
Practice Address - Phone:860-778-5607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)