MEDICARE: SCOTT M. GREENFIELD, D.C.

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	261Q00000X	Clinic/Center	XOO7372	NY

General Provider Information

NPI Number	:	1124419387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT M. GREENFIELD, D.C.

Provider Business Mailing Address
First Line	:	1931 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3889
Country	:	US
Telephone Number	:	718-477-9301
Fax Number	:	718-477-9301

Provider Business Practice Location Address
First Line	:	1931 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3889
Country	:	US
Telephone Number	:	718-477-9301
Fax Number	:	718-477-9301

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DR. SCOTT M GREENFIELD
Credential	:	D.C.
Telephone Number	:	646-256-1453

Provider Enumeration Date	:	02/10/2015
Last Update Date	:	02/10/2015

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