Provider Demographics
NPI:1871989913
Name:GREENBERG, ABRAHAM (MD)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BALFOUR STREET
Mailing Address - Street 2:
Mailing Address - City:JERUSALEM
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:92102
Mailing Address - Country:IL
Mailing Address - Phone:972-535-8328
Mailing Address - Fax:
Practice Address - Street 1:15 BALFOUR STREET
Practice Address - Street 2:
Practice Address - City:JERUSALEM
Practice Address - State:ISRAEL
Practice Address - Zip Code:92102
Practice Address - Country:IL
Practice Address - Phone:972-535-8328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106990208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice