Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD058740L | PA |
NPI | 1144220385 |
---|---|
Provider Name | Dr. Larisa Greenberg |
First Address | Pittsburgh, PA 15213-1861 |
Second Address | Pittsburgh, PA 15212-4756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001610210 | (05) | PA |
2443252 | (05) | OH |
3810002139 | (05) | WV |