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Jack Greenwood, MD

NPI 1851396865 · on the registry since 2005 · sole proprietor

Practice

Address
120 N Country Rd
Port Jefferson, NY 11777
Phone
(631) 474-0444
Fax
(631) 928-8605
Organisation at this address
Paul A. Lusman, M.D.P.C.
John T. Mather Memorial Hospital
John T. Mather Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
2084N0402X
2084N0402X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York