Mitchell Alan Greenbaum DPM

NPI 1104801448 - Podiatrist - 213ES0103X

NPI Details
NPI 1104801448
Gender Male
Enumeration Date 12/09/2005
Last Updated 06/11/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
525 WOODBURY RD
PLAINVIEW NY, 11803-1004, US
Phone (516) 433-3353
Fax (516) 433-8662
Business Location
525 WOODBURY RD
PLAINVIEW NY, 11803-1004, US
Phone (516) 433-3353
Fax (516) 433-8662
Toxanomy
Taxonomy Code 213ES0103X
License State New York
License Number N004558
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According to our database, Dr. Mitchell Alan Greenbaum DPM NPI is 1104801448, taxonomy code is 213ES0103X and license number is N004558, license state is located at New York. Mitchell Alan Greenbaum DPM physically located at 525 Woodbury Rd, Plainview NY, 11803-1004. NPI Number Mitchell Alan Greenbaum DPM has the Individual type.

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1104801448 NPI number is provided on an as is basis without warranty of any kind. 1104801448 is maintained by the National Plan & Provider Enumeration System. The contents of Mitchell Alan Greenbaum DPM are for informational purposes only.