# 154 MEDICAL, P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659683605
- **Authorized official:** DR. JODY GREENFIELD D.O (PRESIDENT)
- **Authorized official phone:** (631) 587-7212

## Contact information

- **Practice address:** 98 PARK AVE, BABYLON, NY 11702-1709
- **Practice address phone:** (631) 587-7212
- **Mailing address:** 98 PARK AVE, BABYLON, NY 11702-1709
- **Mailing address phone:** (631) 587-7212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 1748851 | NY | Yes |

## Other

- **Enumeration date:** 07/07/2010
- **Last updated:** 07/07/2010