Organization
ROGER GREEN, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER D GREEN MD (MD OWNER)
(518) 464-9999
Entity
Organization
Contact information
Practice address
PINE WEST PLAZA, BLDG. #1, WASHINGTON AVENUE EXTENSION, ALBANY, NY 12205
(518) 464-9999
(518) 464-9650
Mailing address
10 EVERGREEN LN, WOODSTOCK, NY 12498-1621
(518) 464-9999
(518) 464-9650
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
Primary
179477
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01258988
—
NY
Enumeration date
03/02/2007
Last updated
08/22/2020
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