Individual
JEROME L GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1270 BROADWAY SUITE 407, NY, NY 10001
(212) 563-2966
(212) 563-3749
Mailing address
207 WANAMAKER LANE, UPPER NYACK, NY 10960
(212) 563-2966
(212) 563-3749
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2435
NY
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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