| Barry Greenfield Dds Pc | |
|
1887 Richmond Ave Staten Island NY 10314-3939 | |
| (516) 767-1880 | |
| (516) 767-7392 |
| Full Name | Barry Greenfield Dds Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1887 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Barry Greenfield (OWNER) |
| Authorized Official Contact | 5167671880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Greenfield Dds Pc 1887 Richmond Ave Staten Island NY 10314-3939 Ph: (516) 767-1880 | Barry Greenfield Dds Pc 1887 Richmond Ave Staten Island NY 10314-3939 Ph: (516) 767-1880 |
| NPI Number | 1417220443 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 12/09/2016 |
| Medicare PECOS PAC ID | 4082872601 |
|---|---|
| Medicare Enrollment ID | O20120228000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417220443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 41612 (New York) | Primary |
| Provider Name | Barry M Greenfield |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699783654 PECOS PAC ID: 3678566924 Enrollment ID: I20040405000556 |
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