Dr. Bruce Roy Greenbaum
Primary Podiatric Medicine
3000 Ocean Pkwy Apt 2g
Brooklyn
, New York 11235-8344
Dr. Bruce Roy Greenbaum
Primary Podiatric Medicine
3000 Ocean Pkwy Apt 2g
Brooklyn
, New York 11235-8344
(718) 265-0345
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Bruce Roy Greenbaum
- 3000 Ocean Pkwy Apt 2g
- Brooklyn, NY
- Zip : 11235-8344
- Fax : (718) 265-0345
- Phone : (718) 265-2600
Second Address
- Dr. Bruce Roy Greenbaum
- 3000 Ocean Pkwy Apt 2g
- Brooklyn, NY
- Zip : 11235-8344
- Fax : (718) 265-0345
- Phone : (718) 265-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | N004557 | NY |
National Provider Identifier
| NPI | 1598767600 |
|---|---|
| Provider Name | Dr. Bruce Roy Greenbaum |
| First Address | Brooklyn, NY 11235-8344 |
| Second Address | Brooklyn, NY 11235-8344 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2005 |
| Last Update Date | 25/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01190069 | (05) | NY |
| U18044 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.