Provider Demographics
NPI:1548269848
Name:GREENFIELD, ALAN BARRY (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:BARRY
Last Name:GREENFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 E SUNRISE HIGHWAY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-4539
Mailing Address - Country:US
Mailing Address - Phone:631-225-7200
Mailing Address - Fax:631-930-9451
Practice Address - Street 1:150 E SUNRISE HIGHWAY
Practice Address - Street 2:SUITE 208
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-4539
Practice Address - Country:US
Practice Address - Phone:631-225-7200
Practice Address - Fax:631-930-9451
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1766732085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01453254Medicaid
NYA400075133Medicare PIN
NY01453254Medicaid