MEDICARE: DR. PAUL A.C. 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	207RH0003X	Hematology & Oncology Physician	165801	NY

General Provider Information

NPI Number	:	1427057975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL A.C. GREENBERG M.D.

Provider Business Mailing Address
First Line	:	112 E 83RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-0880
Country	:	US
Telephone Number	:	212-831-5220
Fax Number	:	212-410-0401

Provider Business Practice Location Address
First Line	:	1735 YORK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-6855
Country	:	US
Telephone Number	:	212-831-5220
Fax Number	:	212-410-0401

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	03/08/2017

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