Individual provider · Type 1 NPI

Evie Greenbaum

Medical Physician Assistant · New York, NY

NPI number 1255158382 Active

Practice location

525 E 68th St
New York, NY 10065-4870

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1255158382

Evie Greenbaum's National Provider Identifier is 1255158382, issued on Sep 20, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Aug 5, 2025.