Individual
MARK L. GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C7777
HEALTHNET
NY
01
—
90603
AETNA
NY
01
—
C26312
BCBS
NY
01
—
P835132
OXFORD
NY
Enumeration date
01/20/2006
Last updated
10/27/2008
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