Individual
ROBERT DANIEL GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1970 ROUTE 112 STE 6, CORAM, NY 11727-2300
(516) 796-2400
Mailing address
1 DUPONT ST STE 110, PLAINVIEW, NY 11803-1606
(516) 796-2400
(516) 796-2500
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
007525
NY
225700000X
Massage Therapist
Primary
014567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007525
ACUPUNCTURE
NY
01
—
014567
MASSAGE THERAPY
NY
Enumeration date
02/02/2021
Last updated
05/13/2024
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