Greenbaum, Mark

Greenbaum, Mark is an individual health care provider with primary practice located at 3010 Grand Concourse , Bronx NY 10458-1504. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Greenbaum, Mark can be contacted via phone (203) 856-8550.

Contact Information

Primary practice address
3010 Grand Concourse Bronx NY 10458-1504
Phone: (203) 856-8550
Fax: (203) 557-3148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 152004 New York

Profile Details

NPI number 1003884180
LBN Legal business name Greenbaum, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1003884180 NPPES
New York Other 05853H GHI MEDICARE

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