Provider Demographics
NPI:1548256928
Name:GREENFIELD, DOUGLAS H (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:H
Last Name:GREENFIELD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6410 VETERANS AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5639
Mailing Address - Country:US
Mailing Address - Phone:718-763-0080
Mailing Address - Fax:718-763-0400
Practice Address - Street 1:6410 VETERANS AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5639
Practice Address - Country:US
Practice Address - Phone:718-763-0080
Practice Address - Fax:718-763-0400
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY130689207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC08415Medicare UPIN