Individual
MRS. REINA S GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
422 WESTERN HWY, TAPPAN, NY 10983-1311
(845) 359-0010
Mailing address
422 WESTERN HWY, TAPPAN, NY 10983-1311
(845) 359-0010
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002477-1
NY
363AM0700X
Medical Physician Assistant
MP200259
NJ
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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