Individual provider · NPI-1

Stephen Robert Greenberg, m.d.

Ophthalmology · Holbrook, NY

NPI number1699878587
StatusActive
Last updated in NPPESFeb 9, 2015

Details

NPI
1699878587
Entity type
Individual (NPI-1)
Name
Stephen Robert Greenberg
Credential
m.d.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2006
Last updated
Feb 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology106798NYYes
156FX1100X Technician/Technologist, Ophthalmic106798NY

Practice location

233 Union Avenue
Suite 104/105
Holbrook, NY 11741-1820

Phone 631-285-7311

Mailing address

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2982

Phone 631-265-8780 · Fax 631-265-8521

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