MEDICARE: DR. DOUGLAS H. GREENFIELD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	130689	NY

General Provider Information

NPI Number	:	1548256928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS H. GREENFIELD M.D.

Provider Business Mailing Address
First Line	:	6410 VETERANS AVE
Second Line	:	SUITE 203
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5639
Country	:	US
Telephone Number	:	718-763-0080
Fax Number	:	718-763-0400

Provider Business Practice Location Address
First Line	:	6410 VETERANS AVE
Second Line	:	SUITE 203
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5639
Country	:	US
Telephone Number	:	718-763-0080
Fax Number	:	718-763-0400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	07/08/2007

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