Healthcare Provider Details

I. General information

NPI: 1487099404
Provider Name (Legal Business Name): DANIELLE E. GREENMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2013
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 HOLLY HILL LN
GREENWICH CT
06830-6098
US

IV. Provider business mailing address

75 HOLLY HILL LN
GREENWICH CT
06830-6098
US

V. Phone/Fax

Practice location:
  • Phone: 203-661-2596
  • Fax: 833-941-0867
Mailing address:
  • Phone: 203-661-2596
  • Fax: 833-941-0867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number55541
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: