Gerald Greenfield, M.D.
Individual provider Active NPI Anesthesiology Physician · Lchmt., NY
NPI 1487977377 · NPPES record last updated Mar 5, 2010
Key facts
- NPI
- 1487977377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 171246 (NY)
- Practice address
- 2005 Palmer Ave.
Lchmt., NY 10538 - Phone
- (212) 810-0670
- NPI assigned
- Mar 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171246 | NY | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 171246 | NY | Yes |
Addresses
Primary practice location
2005 Palmer Ave.
Lchmt., NY 10538
Mailing address
2005 Palmer Ave.
Lchmt., NY 10538
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.