Individual
ADINA SIMONE GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2001 MARCUS AVE, STE 168 S, LAKE SUCCESS, NY 11042
(516) 775-2004
(516) 829-7987
Mailing address
2001 MARCUS AVE, STE 168 S, LAKE SUCCESS, NY 11042
(516) 775-2004
(516) 829-7987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041955
NY
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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