Physician Compare National (NPI:1881792604)

HEALTHCARE PROVIDER: STEPHAN MICHAEL GREENBERG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881792604
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789844549
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120402000401
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GREENBERG
	Individual professional last name
Provider First Name	STEPHAN
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1966
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	53 CTR ST
	Group Practice or individual's line 1 address
City	HORNELL
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	148431931
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6073244480
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y