Individual
JONATHAN GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
111 SMITHTOWN BYP, SUITE 102, HAUPPAUGE, NY 11788-2524
(631) 724-7150
(631) 724-3634
Mailing address
111 SMITHTOWN BYP, SUITE 102, HAUPPAUGE, NY 11788-2524
(631) 724-7150
(631) 724-3634
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
041691-1
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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