NPI 1104801448

Mitchell Alan Greenbaum, DPM

Practitioner Podiatrist Plainview, NY

Practice location

Address: 525 Woodbury Rd, Plainview, NY 11803-1004
Phone: (516) 433-3353
Fax: (516) 433-8662

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence N004558 (NY)

Other Podiatrist providers in New York →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence N004558 (NY)

Registry record

NPI: 1104801448
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2005
Record last updated: 11 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.