Individual
MRS. JUDYTH ELLEN GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1111 MONTAUK HWY, SUITE 204, WEST ISLIP, NY 11795-4910
(631) 376-4242
Mailing address
5 LAMB PL, DIX HILLS, NY 11746-6723
(631) 667-4633
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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