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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003884180 | NPPES |
| New York | Other | 05853H | GHI MEDICARE |
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