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Individual
MS. SUSAN NANCY GREENBERG
Active
Individual
MS. SUSAN NANCY GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19364P
HIP
—
01
—
6698344
GHI
—
01
—
A866744
OXFORD
—
01
—
Q454471
BC/BS
—
Enumeration date
07/08/2005
Last updated
04/07/2008
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