Individual
ELLIOT GREENEBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
26 COURT ST STE 1412, BROOKLYN, NY 11242-1114
(917) 301-3740
Mailing address
97 WAVERLY AVE APT 3F, BROOKLYN, NY 11205-3056
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001126
NY
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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