Healthcare Provider Details

I. General information

NPI: 1174725055
Provider Name (Legal Business Name): ALAN B GREENFIELD MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W PARK AVE
LONG BEACH NY
11561-3212
US

IV. Provider business mailing address

210 W PARK AVE
LONG BEACH NY
11561-3212
US

V. Phone/Fax

Practice location:
  • Phone: 516-431-4800
  • Fax: 516-431-2664
Mailing address:
  • Phone: 516-431-4800
  • Fax: 516-431-2664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number176673
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number176673
License Number StateNY

VIII. Authorized Official

Name: DR. ALAN B GREENFIELD
Title or Position: PRESIDENT AND MEDICAL DIRECTOR
Credential: MD
Phone: 516-431-4800