Individual
JEFFREY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE STE 7F, NEW YORK, NY 10016-6402
(212) 682-9202
Mailing address
104 E 40TH ST, SUITE 603, NEW YORK, NY 10016-1801
(212) 375-2940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
132061
NY
207RI0200X
Infectious Disease Physician
Primary
132061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00757864
—
NY
Enumeration date
07/11/2006
Last updated
08/14/2023
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