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GREENBAUM MD - WAGNER MD NPI 1326059098


NPI Information

NPI: 1326059098
Provider Name: GREENBAUM, MD - WAGNER, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
ST VINCENTS HOSPITAL 170 WEST 12TH STREET
COLEMAN 1050 EAST
NEW YORK, NY
ZIP 10011
Phone: (212) 604-8336
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GREENBAUM, MD - WAGNER, MD is a critical care medicine internal medicine in New York, NY. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. GREENBAUM, MD - WAGNER, MD NPI is 1326059098. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

ST VINCENTS HOSPITAL 170 WEST 12TH STREET
COLEMAN 1050 EAST
NEW YORK, NY
ZIP 10011
Phone: (212) 604-8336

The provider's authorized official is Mark E Astiz .
The authorized official title is Chief, Critical Care Medicine and has the following contact phone number (212) 604-8336.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 1/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W12441MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2CF6456OTHERNEW YORKRRMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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