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
Fax: (718) 265-0345
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598767600 NPPES
New York MEDICAID 01190069

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