Individual
KEITH H GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 W 54TH ST, SUITE 1C, NEW YORK, NY 10019-5504
(212) 664-0030
(212) 664-8506
Mailing address
261 W BROADWAY, LONG BEACH, NY 11561-3938
(516) 432-0768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
222711
NY
Other
Enumeration date
11/11/2006
Last updated
01/12/2010
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