BRUCE R. GREENBAUM DPM PC NPI 1558309963

NPI Information

BRUCE R. GREENBAUM DPM PC is a podiatrist in Brooklyn, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BRUCE R. GREENBAUM DPM PC NPI is 1558309963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3000 OCEAN PKWY
SUITE 2G
BROOKLYN, NY
ZIP 11235-367
Phone: (718) 265-2600
Fax: (718) 265-0345

The provider's authorized official is Bruce Roy Greenbaum .
The authorized official title is President and has the following contact phone number (719) 265-2600.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 11/13/2007.

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:

Other Identifiers

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

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