Greenbaum, Mitchell Alan

Greenbaum, Mitchell Alan is an sole proprietor health care provider with primary practice located at 525 Woodbury Rd , Plainview NY 11803-1004. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Greenbaum, Mitchell Alan can be contacted via phone (516) 433-3353.

Contact Information

Primary practice address
525 Woodbury Rd Plainview NY 11803-1004
Phone: (516) 433-3353
Fax: (516) 433-8662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004558 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N004558 New York

Profile Details

NPI number 1104801448
LBN Legal business name Greenbaum, Mitchell Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Jun 11th, 2013 - about 12 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 1104801448 NPPES
New York MEDICAID 01431176

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