Individual
DR. KENNETH GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 W 76TH ST, APT 7E, NEW YORK, NY 10023-8302
(617) 633-7454
Mailing address
175 W 76TH ST, APT 7E, NEW YORK, NY 10023-8302
(617) 633-7454
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
239024
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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