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General NPI Number Information
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NPI Number | 1225598915
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Entity Type | Individual
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Provider Name | ROBERT GREENBERGER LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 445 BROADHOLLOW RD STE 25
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City | MELVILLE
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State | NY
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Zip | 11747-3645
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Country | US
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Telephone | 516-873-8056
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Fax |
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Provider Business Mailing Address
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Address Line | 16 FOOTHILL LN
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City | SMITHTOWN
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State | NY
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Zip | 11787-2348
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Country | US
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Telephone | 631-766-1210
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 073261-1
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License Number State | NY
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