Individual
MR. BRUCE GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24202 61ST AVE, DOUGLASTON, NY 11362-1996
(718) 423-6734
Mailing address
24015 67TH AVE, DOUGLASTON, NY 11362-1926
(718) 631-4612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035160
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035160
STATE LISCENCE NUMBER
NY
Enumeration date
02/15/2008
Last updated
02/15/2008
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