Individual
MARK L. GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
275 N MIDDLETOWN RD, SUITE 2B, PEARL RIVER, NY 10965-1188
(845) 735-5757
Mailing address
275 N MIDDLETOWN RD, SUITE 2B, PEARL RIVER, NY 10965-1188
(845) 735-5757
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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