Provider Demographics
NPI:1073560033
Name:GREENBERG, LIOR JACOB (MD)
Entity Type:Individual
Prefix:DR
First Name:LIOR
Middle Name:JACOB
Last Name:GREENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2400 CLINTON AVE S
Mailing Address - Street 2:BUILDING F
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2668
Mailing Address - Country:US
Mailing Address - Phone:585-244-7201
Mailing Address - Fax:585-256-3204
Practice Address - Street 1:2400 CLINTON AVE S
Practice Address - Street 2:BUILDING F
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2668
Practice Address - Country:US
Practice Address - Phone:585-244-7201
Practice Address - Fax:585-256-3204
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.095884207R00000X
NY238164207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine