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Individual

DR. STEPHAN MICHAEL GREENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7 ERIE AVE, HORNELL, NY 14843-1909
(607) 324-4480
(607) 324-3453
Mailing address
7 ERIE AVE, PO BOX 578, HORNELL, NY 14843-1909
(607) 324-4480
(607) 324-3453

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
099238
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00663272
NY
01
161003515
TAX ID
NY
Enumeration date
09/20/2006
Last updated
11/29/2016
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