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Organization
GREEN DIAGNOSTIC IMAGING PC
Active
Organization
GREEN DIAGNOSTIC IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A GREEN (DOCTOR)
(917) 608-2277
Entity
Organization
Contact information
Practice address
4640 LIVINGSTON AVE, BRONX, NY 10471-3335
(917) 608-2277
Mailing address
4640 LIVINGSTON AVE, BRONX, NY 10471-3335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
195970
NY
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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