Individual
DR. BARRY S GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
646 MAIN STREET, PORT JEFFERSON, NY 11777
(631) 474-5341
Mailing address
28 MILLAN AVENUE, NESCONSET, NY 11767
(631) 588-7051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009517
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145830
VALUE OPTIONS
NY
Enumeration date
03/19/2007
Last updated
07/08/2007
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