Individual
DR. ROBERT S GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1110 ROUTE 55 STE 105, LAGRANGEVILLE, NY 12540-5048
(845) 473-0220
(845) 473-0140
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
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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