Organization
GREENBAUM & KOBREN D.D.S, P.L.L.C
Active
Other names
MIchael Greenbaum D.D.S
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GREENBAUM D.D.S (DENTIST)
(516) 767-2484
Entity
Organization
Contact information
Practice address
14 MAPLE ST, SUITE 101, PORT WASHINGTON, NY 11050-2967
(516) 767-2484
(516) 767-1672
Mailing address
14 MAPLE ST, SUITE 101, PORT WASHINGTON, NY 11050-2967
(516) 767-2484
(516) 767-1672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068460
UNITED CONCORDIA
NY
Enumeration date
09/22/2011
Last updated
09/22/2011
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