Individual
BARRY CLYDE GEENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 KAPPOCK ST APT 4P, BRONX, NY 10463-6403
(718) 549-8765
Mailing address
555 KAPPOCK STREET, BRONX, NY 10463
(718) 549-8765
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002434
NY
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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