Individual
DR. ROBERT S GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007187044
AETNA
NY
05
—
02144998
—
NY
01
—
10032470
CDPHP
NY
01
—
597014
MVP HEALTH PLAN
NY
01
—
P2790040
OXFORD HEALTH INSURANCE
—
Enumeration date
06/22/2005
Last updated
12/13/2024
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