33D2183152 CLIA NUMBER - ALEX M GREENBERG DDS PLLC

Laboratory Demographics

CLIA Number: 33D2183152

Facility Name: ALEX M GREENBERG DDS PLLC

Facility Address:
18 E 48TH ST SUITE 1702
NEW YORK, NY
ZIP 10017
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Facility Phone Number: 212 319-9700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811052285

Taxonomy: 1223S0112X - Dentist
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

CLIA Record

Field Name	Field Value
CLIA Number	33D2183152
LAB Type	Physician Office
Facility Name	ALEX M GREENBERG DDS PLLC
Street	18 E 48TH ST SUITE 1702
City	NEW YORK
State	NY
ZIP	10017
Phone	212 319-9700
CertificateType	4
CertificateEffectiveDate	4/30/2022
CertificateExpirationDate	4/29/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024