Individual
DR. BRUCE W GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1554 DUTCH BROADWAY, ELMONT, NY 11003-4522
(516) 825-7252
(516) 825-4753
Mailing address
1554 DUTCH BROADWAY, ELMONT, NY 11003-4522
(516) 825-7252
(516) 825-4753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
178873
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01247790
—
NY
Enumeration date
07/14/2005
Last updated
06/13/2013
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