Organization
ROBERT S GREENBAUM OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S GREENBAUM OD (OWNER)
(845) 473-0220
Entity
Organization
Contact information
Practice address
1110 ROUTE 55, LAGRANGEVILLE, NY 12540-5045
(845) 473-0220
(845) 473-0140
Mailing address
1110 ROUTE 55, LAGRANGEVILLE, NY 12540-5045
(845) 473-0220
(845) 473-0140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT4414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144998
—
NY
01
—
325
DAVIS
NY
01
—
597014
MVP
NY
01
—
C2T801
BXBS
NY
01
—
NY4414
EYE MED
NY
01
—
P2790040
OXFORD
NY
01
—
U794
CDPHP
NY
Enumeration date
01/08/2006
Last updated
11/05/2008
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