Organization
STANLEY L. GREENBAUM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY L. GREENBAUM M.D. (PRESIDENT)
(845) 368-2007
Entity
Organization
Contact information
Practice address
12A N AIRMONT RD, SUFFERN, NY 10901-5105
(845) 368-2007
(845) 368-1360
Mailing address
12A N AIRMONT RD, SUFFERN, NY 10901-5105
(845) 368-2007
(845) 368-1360
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
100540
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00172385
—
NY
Enumeration date
02/12/2007
Last updated
08/22/2020
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