Provider Demographics
NPI:1679897862
Name:GREENFELD, STUART (RPH)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:
Last Name:GREENFELD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:878 NOSTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-2226
Mailing Address - Country:US
Mailing Address - Phone:718-771-7271
Mailing Address - Fax:718-953-5626
Practice Address - Street 1:878 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-2226
Practice Address - Country:US
Practice Address - Phone:718-771-7271
Practice Address - Fax:718-953-5626
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist