MEDICARE: MRS. SHARON ELAINE GREENBERG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	151309	NY

General Provider Information

NPI Number	:	1427013010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON ELAINE GREENBERG MD

Provider Business Mailing Address
First Line	:	5444 LITTLE NECK PARKWAY
Second Line	:	SUITE 3
City	:	LITTLE NECK
State	:	NY
Zip	:	11362
Country	:	US
Telephone Number	:	718-428-9393
Fax Number	:	718-428-8738

Provider Business Practice Location Address
First Line	:	5444 LITTLE NECK PARKWAY
Second Line	:	SUITE 3
City	:	LITTLE NECK
State	:	NY
Zip	:	11362
Country	:	US
Telephone Number	:	718-428-9393
Fax Number	:	718-428-8738

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/08/2007

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