Individual
DR. ELAINE LINDA GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1770 GRAND CONCOURSE, BRONX, NY 10457-5524
(718) 901-8110
(718) 901-8121
Mailing address
1770 GRAND CONCOURSE, BRONX, NY 10457-5524
(718) 901-8110
(718) 901-8121
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
034851-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
034851-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02595173
—
NY
Enumeration date
06/22/2005
Last updated
02/25/2013
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