Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC002036L | PA |
Y | 222Z00000X | Podiatrist | SC002036L | PA |
NPI | 1003886177 |
---|---|
Provider Name | Dr. Hariett Brenda Levinson Greenberg |
First Address | Baltimore, MD 21228-4664 |
Second Address | Warminster, PA 18974-3527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 26/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0023141000 | INDEPENDENCE BC/KEYSTONE-CAP (01) | |
0070457930002 | (05) | PA |
141608 | HIGHMARK BS (01) | |
2706074 | EVERCARE (01) | |
611455212 | TRICARE (01) | |
U00623 | (02) |