MEDICARE: DR. LIOR JACOB GREENBERG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35.095884	OH
2	207R00000X	Internal Medicine Physician	238164	NY

General Provider Information

NPI Number	:	1073560033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIOR JACOB GREENBERG M.D.

Provider Business Mailing Address
First Line	:	2400 CLINTON AVE S
Second Line	:	BUILDING F
City	:	ROCHESTER
State	:	NY
Zip	:	14618-2668
Country	:	US
Telephone Number	:	585-244-7201
Fax Number	:	585-256-3204

Provider Business Practice Location Address
First Line	:	2400 CLINTON AVE S
Second Line	:	BUILDING F
City	:	ROCHESTER
State	:	NY
Zip	:	14618-2668
Country	:	US
Telephone Number	:	585-244-7201
Fax Number	:	585-256-3204

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	07/06/2023

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