Provider Demographics
NPI:1548695281
Name:GREIF, REBECCA ANYA (PSYD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANYA
Last Name:GREIF
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 BROADWAY # 145
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6279
Mailing Address - Country:US
Mailing Address - Phone:646-450-4590
Mailing Address - Fax:
Practice Address - Street 1:174 W 76TH ST APT 13J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-8407
Practice Address - Country:US
Practice Address - Phone:201-394-8769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020232103T00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist