Provider Demographics
NPI:1093891475
Name:RAINSFORD, GRETA M (MD)
Entity Type:Individual
Prefix:DR
First Name:GRETA
Middle Name:M
Last Name:RAINSFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:756 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-4658
Mailing Address - Country:US
Mailing Address - Phone:516-481-6633
Mailing Address - Fax:516-564-5031
Practice Address - Street 1:756 FRONT ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4658
Practice Address - Country:US
Practice Address - Phone:516-481-6633
Practice Address - Fax:516-564-5031
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092983-12080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine