Individual
EDWARD J GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3490 JEROME AVE, BRONX, NY 10467
(718) 654-5860
Mailing address
3490 JEROME AVE, BRONX, NY 10467
(718) 654-5860
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NY47781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02385151
—
NY
Enumeration date
06/02/2008
Last updated
06/02/2008
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