Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 026429 | NY |
NPI | 1073516084 |
---|---|
Provider Name | Dr. Allen M. Greenberg |
First Address | New Rochelle, NY 10801-5028 |
Second Address | New Rochelle, NY 10801-5028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 08/07/2007 |