# STANLEY L. GREENBAUM MD PC

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

## Provider details

- **NPI number:** 1144362823
- **Authorized official:** DR. STANLEY L. GREENBAUM M.D. (PRESIDENT)
- **Authorized official phone:** (845) 368-2007

## Contact information

- **Practice address:** 12A N AIRMONT RD, SUFFERN, NY 10901-5105
- **Practice address phone:** (845) 368-2007
- **Practice address fax:** (845) 368-1360
- **Mailing address:** 12A N AIRMONT RD, SUFFERN, NY 10901-5105
- **Mailing address phone:** (845) 368-2007
- **Mailing address fax:** (845) 368-1360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 100540 | NY | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020