Greenbaum, Bruce Roy
Greenbaum, Bruce Roy is an sole proprietor health care provider with primary practice located at 3000 Ocean Pkwy Apt 2G, Brooklyn NY 11235-8344. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Greenbaum, Bruce Roy can be contacted via phone (718) 265-2600.Contact Information
Primary practice address
3000 Ocean Pkwy Apt 2G
Brooklyn NY 11235-8344
Phone: (718) 265-2600
Fax: (718) 265-0345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | N004557 | New York |
Profile Details
NPI number | 1598767600 |
---|---|
LBN Legal business name | Greenbaum, Bruce Roy |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2005 |
Last updated | Oct 25th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598767600 | NPPES |
New York | MEDICAID | 01190069 |
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