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Individual

DR. STEPHEN TODD GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
195 FROEHLICH FARM BLVD, WOODBURY, NY 11797
(516) 364-4200
(516) 364-6562
Mailing address
195 FROEHLICH FARM BLVD, WOODBURY, NY 11797
(516) 364-4200
(516) 364-6562

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
1809161
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101502
GHI
Enumeration date
12/26/2006
Last updated
07/08/2007
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