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Organization

GREENBAUM, MD - WAGNER, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK E ASTIZ MD (CHIEF, CRITICAL CARE MEDICINE)
(212) 604-8336
Entity
Organization

Contact information

Practice address
ST VINCENTS HOSPITAL 170 WEST 12TH STREET, COLEMAN 1050 EAST, NEW YORK, NY 10011
(212) 604-8336
Mailing address
222 W 14TH ST, NEW YORK, NY 10011-7200
(212) 604-1824
(212) 604-1892

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CF6456
RRMEDICARE
NY
Enumeration date
08/10/2006
Last updated
01/11/2008
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