Organization
GREEN REHABILITATION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONAH GREEN MD (OWNER)
(718) 406-6037
Entity
Organization
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1822
(718) 406-6037
Mailing address
620 WILSON AVE, PMB #95, BROOKLYN, NY 11207
(718) 406-6037
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/24/2022
Last updated
02/21/2024
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