| Michael Greenbaum D.d.s | |
|
14 Maple St Suite 101 Port Washington NY 11050-2967 | |
| (516) 767-2484 | |
| (516) 767-1672 |
| Full Name | Michael Greenbaum D.d.s |
|---|---|
| Speciality | Dentist |
| Location | 14 Maple St, Port Washington, New York |
| Authorized Official Name and Position | Michael Greenbaum (DENTIST) |
| Authorized Official Contact | 5167672484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Greenbaum D.d.s 14 Maple St Suite 101 Port Washington NY 11050-2967 Ph: (516) 767-2484 | Michael Greenbaum D.d.s 14 Maple St Suite 101 Port Washington NY 11050-2967 Ph: (516) 767-2484 |
| NPI Number | 1487937793 |
|---|---|
| Provider Enumeration Date | 09/22/2011 |
| Last Update Date | 09/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487937793 | NPI | - | NPPES |
| 2068460 | Other | NY | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 048262 (New York) | Primary |
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