Individual
DR. ANTHONY GREENIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6290
Mailing address
1276 FULTON AVE FL 3, BRONX, NY 10456-3402
(917) 232-6319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
211616
NY
Other
Enumeration date
01/31/2007
Last updated
12/18/2007
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