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Organization

DEBRA GREEN, MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA GREEN MD (SOLE MEMBER)
(212) 988-3801
Entity
Organization

Contact information

Practice address
115 E 57TH ST, SUITE 510, NEW YORK, NY 10022-2049
(212) 584-5402
(212) 744-4072
Mailing address
115 E 57TH ST, SUITE 510, NEW YORK, NY 10022-2049
(212) 584-2619
(212) 744-4072

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
247303
NY

Other

Enumeration date
08/02/2009
Last updated
10/18/2009
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