Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 030844 | NY |
Y | 1223P0700X | Prosthodontist | 030844 | NY |
NPI | 1124277397 |
---|---|
Provider Name | Dr. Richard Greenfield |
First Address | New Hyde Park, NY 11042-1215 |
Second Address | New Hyde Park, NY 11042-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2008 |
Last Update Date | 12/09/2008 |