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NPI Code Detail

MEDICARE: MRS. YVONNE ANN GREENFIELD RPAC

MEDICARE: MRS. YVONNE ANN GREENFIELD RPAC
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
1363AM0700XMedical Physician Assistant008114-1NY

General Provider Information

NPI Number : 1801025093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YVONNE ANN GREENFIELD RPAC
Provider Business Mailing Address
First Line : 93 WYCKOFF ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-6305
Country : US
Telephone Number : 718-875-3326
Fax Number :
Provider Business Practice Location Address
First Line : 153 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3108
Country : US
Telephone Number : 718-230-5811
Fax Number : 718-230-5836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2009
Last Update Date : 07/08/2009

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