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Individual

ANDREW GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
158 SARATOGA AVE, WATERFORD, NY 12188-2205
(518) 233-1162
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351229
NY
363LF0000X
Family Nurse Practitioner
F351229
NY

Other

Enumeration date
03/02/2023
Last updated
03/28/2023
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