Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 005445 | NY |
NPI | 1154735264 |
---|---|
Provider Name | Dr. Michael Greenfield |
First Address | Asheville, NC 28803-5044 |
Second Address | Hendersonville, NC 28791-3648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 17/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T85790 | (02) | NY |