Provider Demographics
NPI:1538322995
Name:GREENBERG, ANDREW PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PHILIP
Last Name:GREENBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 CENTER LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1066
Mailing Address - Country:US
Mailing Address - Phone:516-579-6236
Mailing Address - Fax:516-579-5437
Practice Address - Street 1:1 CENTER LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1066
Practice Address - Country:US
Practice Address - Phone:516-579-6236
Practice Address - Fax:516-579-5437
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY250942207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A400068818Medicare UPIN