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Individual

JEFFREY GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15 HOSPITAL DR, MASSENA, NY 13662-1092
(315) 769-4638
(315) 842-3099
Mailing address
1 HOSPITAL DR, MASSENA, NY 13662-1097
(315) 769-4200

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
14357
PR
207V00000X
Obstetrics & Gynecology Physician
Primary
224763
NY
207V00000X
Obstetrics & Gynecology Physician
ME104409
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04552838
NY
Enumeration date
06/29/2007
Last updated
10/04/2018
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