Individual
DR. RICHARD W GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 BARTOW AVE, SUITE 211, BRONX, NY 10475-4614
(718) 671-1000
(212) 765-3210
Mailing address
200 CENTRAL PARK S, SUITE 107, NEW YORK, NY 10019-1436
(212) 262-2500
(212) 246-0890
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
79669
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143991
BLUE CROSS BLUE SHIELD
—
01
—
1935505
CIGNA
—
01
—
P62303155
MULTIPLAN
—
01
—
P853378
OXFORD
—
Enumeration date
01/18/2006
Last updated
12/18/2014
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