Individual
MICHAEL L GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11115 QUEENS BLVD, FL 2, FOREST HILLS, NY 11375-7479
(718) 544-6448
(718) 544-7719
Mailing address
11115 QUEENS BLVD, FL 2, FOREST HILLS, NY 11375-7479
(718) 544-6448
(718) 544-7719
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
214334
NY
207R00000X
Internal Medicine Physician
214334
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01950889
—
NY
Enumeration date
06/01/2006
Last updated
02/08/2017
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