MEDICARE: GREENFIELD MEDICAL PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1598233033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENFIELD MEDICAL PLLC

Provider Business Mailing Address
First Line	:	1716 E 28TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2513
Country	:	US
Telephone Number	:	718-790-7775
Fax Number	:

Provider Business Practice Location Address
First Line	:	1716 E 28TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2513
Country	:	US
Telephone Number	:	718-790-7775
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	BELLA KUSHNIR
Credential	:	MD
Telephone Number	:	718-790-7775

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	12/20/2021

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