Greene, Bruce L
Greene, Bruce L is an individual health care provider with primary practice located at 10 Brentwood Dr Suite B, Ithaca NY 14850-1865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Greene, Bruce L can be contacted via phone (607) 266-0073.Contact Information
Primary practice address
10 Brentwood Dr Suite B
Ithaca NY 14850-1865
Phone: (607) 266-0073
Fax: (607) 266-9310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 153402 | New York |
Profile Details
| NPI number | 1679587760 |
|---|---|
| LBN Legal business name | Greene, Bruce L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | May 17th, 2013 - about 11 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 | 1679587760 | NPPES |
| New York | MEDICAID | 01507464 |
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