# SCOTT GREENBAUM MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104334119
- **Authorized official:** SCOTT GREENBAUM MD (PRESIDENT)
- **Authorized official phone:** (718) 897-2020

## Contact information

- **Practice address:** 6860 AUSTIN ST STE 301A, FOREST HILLS, NY 11375-4245
- **Practice address phone:** (718) 897-2020
- **Practice address fax:** (718) 897-9514
- **Mailing address:** 6860 AUSTIN ST STE 301A, FOREST HILLS, NY 11375-4245
- **Mailing address phone:** (718) 897-2020
- **Mailing address fax:** (718) 897-9514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2018
- **Last updated:** 03/17/2018