Provider Demographics
NPI:1326360363
Name:AARON SAUL GREENBERG MDPC
Entity Type:Organization
Organization Name:AARON SAUL GREENBERG MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIPP
Authorized Official - Middle Name:
Authorized Official - Last Name:PIFKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-934-9720
Mailing Address - Street 1:2264 HENDRICKSON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5131
Mailing Address - Country:US
Mailing Address - Phone:718-692-2400
Mailing Address - Fax:718-692-4069
Practice Address - Street 1:2264 HENDRICKSON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5131
Practice Address - Country:US
Practice Address - Phone:718-692-2400
Practice Address - Fax:718-692-4069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155553207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01740587Medicaid
NYA62269Medicare UPIN