Individual
DR. BRUCE ROY GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3000 OCEAN PKWY, APT 2G, BROOKLYN, NY 11235-8344
(718) 265-2600
(718) 265-0345
Mailing address
3000 OCEAN PKWY, APT 2G, BROOKLYN, NY 11235-8344
(718) 265-2600
(718) 265-0345
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01190069
—
NY
Enumeration date
06/01/2005
Last updated
10/25/2007
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