Provider Demographics
NPI:1306306188
Name:GREENFEST, ADAM BRANDON (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:BRANDON
Last Name:GREENFEST
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:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Mailing Address - Street 2:505 EAST 70TH ST
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-746-9663
Mailing Address - Fax:212-746-3609
Practice Address - Street 1:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Practice Address - Street 2:505 EAST 70TH ST
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-9663
Practice Address - Fax:212-746-3609
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program