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General NPI Number Information
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NPI Number | 1619170982
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Entity Type | Organization
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Legal Business Name | PAUL N GREENBERG DPM PC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 310 EAST 65TH STREET SUITE 2E
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City | NEW YORK
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State | NY
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Zip | 10065-6756
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Country | US
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Telephone | 212-794-0089
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Fax | 212-650-0047
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Provider Business Mailing Address
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Address Line | 310 EAST 65TH STREET SUITE 2E
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City | NEW YORK
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State | NY
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Zip | 10065-6756
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Country | US
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Telephone | 212-794-0089
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Fax | 646-558-0303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL NATHAN GREENBERG
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Credential | DPM
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Telephone | 212-794-0089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 002414
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License Number State | NY
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