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NPI Code Detail

MEDICARE: SCOTT GREENBAUM MD

MEDICARE: SCOTT GREENBAUM 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
1207W00000XOphthalmology Physician166584NY

General Provider Information

NPI Number : 1982615639
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT GREENBAUM MD
Provider Business Mailing Address
First Line : 6860 AUSTIN ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4220
Country : US
Telephone Number : 718-897-2020
Fax Number : 718-897-9514
Provider Business Practice Location Address
First Line : 6860 AUSTIN ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4220
Country : US
Telephone Number : 718-897-2020
Fax Number : 718-897-9514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 03/11/2016

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Directions to “ SCOTT GREENBAUM MD” Practice Location

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