MEDICARE: ALAN B GREENFIELD MD PC

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	261QR0206X	Mammography Clinic/Center	176673	NY
2	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	176673	NY

General Provider Information

NPI Number	:	1174725055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN B GREENFIELD MD PC

Provider Business Mailing Address
First Line	:	210 W PARK AVE
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-3212
Country	:	US
Telephone Number	:	516-431-4800
Fax Number	:	516-431-2664

Provider Business Practice Location Address
First Line	:	210 W PARK AVE
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-3212
Country	:	US
Telephone Number	:	516-431-4800
Fax Number	:	516-431-2664

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	09/11/2025

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