Provider Demographics
NPI:1316206063
Name:STEPHEN T. GREENBERG, M.D. P.C.
Entity Type:Organization
Organization Name:STEPHEN T. GREENBERG, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./PLASTIC & RECONSTRUCTIVE SURGE
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-364-4200
Mailing Address - Street 1:195 FROEHLICH FARM BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODBURG
Mailing Address - State:NY
Mailing Address - Zip Code:11797
Mailing Address - Country:US
Mailing Address - Phone:516-364-4200
Mailing Address - Fax:516-364-6562
Practice Address - Street 1:195 FROEHLICH FARM BLVD
Practice Address - Street 2:
Practice Address - City:WOODBURG
Practice Address - State:NY
Practice Address - Zip Code:11797
Practice Address - Country:US
Practice Address - Phone:516-364-4200
Practice Address - Fax:516-364-6562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty