Individual
DR. MITCHELL ALAN GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
525 WOODBURY RD, PLAINVIEW, NY 11803-1004
(516) 433-3353
(516) 433-8662
Mailing address
525 WOODBURY RD, PLAINVIEW, NY 11803-1004
(516) 433-3353
(516) 433-8662
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004558
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N004558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01431176
—
NY
Enumeration date
12/09/2005
Last updated
06/11/2013
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