Individual
JEFFREY A GREENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5408
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5408
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
181562
NY
207RP1001X
Pulmonary Disease Physician
181562-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01485294
—
NY
Enumeration date
09/13/2005
Last updated
09/28/2022
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