Healthcare Provider Details

I. General information

NPI: 1306306188
Provider Name (Legal Business Name): ADAM BRANDON GREENFEST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WEILL CORNELL INTERNAL MEDICINE ASSOCIATES 505 EAST 70TH ST
NEW YORK NY
10021
US

IV. Provider business mailing address

WEILL CORNELL INTERNAL MEDICINE ASSOCIATES 505 EAST 70TH ST
NEW YORK NY
10021
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-9663
  • Fax: 212-746-3609
Mailing address:
  • Phone: 212-746-9663
  • Fax: 212-746-3609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: