Healthcare Provider Details

I. General information

NPI: 1427013010
Provider Name (Legal Business Name): SHARON ELAINE GREENBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5444 LITTLE NECK PARKWAY SUITE 3
LITTLE NECK NY
11362
US

IV. Provider business mailing address

5444 LITTLE NECK PARKWAY SUITE 3
LITTLE NECK NY
11362
US

V. Phone/Fax

Practice location:
  • Phone: 718-428-9393
  • Fax: 718-428-8738
Mailing address:
  • Phone: 718-428-9393
  • Fax: 718-428-8738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number151309
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: