Organization
MITCHELL GREENBAUM, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL A. GREENBAUM D.P.M. (OWNER)
(516) 484-1444
Entity
Organization
Contact information
Practice address
525 WOODBURY RD, PLAINVIEW, NY 11803-1004
(516) 484-1444
Mailing address
525 WOODBURY RD, PLAINVIEW, NY 11803-1004
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N004558
NY
Other
Enumeration date
01/18/2008
Last updated
06/18/2008
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