Provider Demographics
NPI:1801948153
Name:GREIFER, LOIS EVAN (PHD)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:EVAN
Last Name:GREIFER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 EAST 79TH STREET
Mailing Address - Street 2:
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-249-0792
Mailing Address - Fax:
Practice Address - Street 1:182 EAST 79TH STREET
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-249-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009867103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
6800242OtherGHI BEHAVIORAL MANAGEMENT
5260402OtherAETNA HEALTH MANAGEMENT
V3794OtherEMPIRE BLUE CROSS BLUE SH
P3403565OtherOXFORD HEALTH PLANS
P3403565OtherOXFORD HEALTH PLANS