Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 000711 | CT |
N | 222Z00000X | Podiatrist | 000711 | CT |
Y | 213ES0103X | Foot & Ankle Surgery | 000711 | CT |
NPI | 1023019619 |
---|---|
Provider Name | Harris A Greenberger |
First Address | Norwalk, CT 06851-5803 |
Second Address | Norwalk, CT 06851-5803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 29/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U75014 | (02) | CT |