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Organization
WARWICK GREEN M.B.B.S., P.C
Active
Organization
WARWICK GREEN M.B.B.S., P.C
Active
Other names
Peter Warwick Green
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY OLSSEN (OFFICE MANAGER)
(631) 368-1222
Entity
Organization
Contact information
Practice address
554 LARKFIELD ROAD, SUITE 10G, EAST NORTHPORT, NY 11731
(631) 368-1222
(631) 368-8401
Mailing address
554 LARKFIELD ROAD, SUITE 10G, EAST NORTHPORT, NY 11731
(631) 368-1222
(631) 368-8401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1431571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1431571
LICENSE
NY
Enumeration date
05/14/2007
Last updated
05/16/2008
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