Healthcare Provider Details

I. General information

NPI: 1659286367
Provider Name (Legal Business Name): CATHERINA YANG GREENBERG, MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 IRVING PL
WOODMERE NY
11598-1281
US

IV. Provider business mailing address

555 STEWART AVE UNIT 2317
GARDEN CITY NY
11530-4880
US

V. Phone/Fax

Practice location:
  • Phone: 516-295-0404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CATHERINA YANG GREENBERG
Title or Position: PHYSICIAN
Credential: MD
Phone: 516-650-2199