Organization
STEPHEN H GREEN MD FACS & STANLEY K KLAUSNER MD FACS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN HOWELL GREEN MD (PARTNER)
(631) 475-8846
Entity
Organization
Contact information
Practice address
285 SILLS RD, BUILDING 2 SUITE A, PATCHOGUE, NY 11772
(631) 475-8846
(631) 475-8860
Mailing address
285 SILLS RD, BUILDING 2 SUITE A, PATCHOGUE, NY 11772
(631) 475-8846
(631) 475-8860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
099292
NY
208600000X
Surgery Physician
101835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00169571
—
NY
01
—
099292
LICENSE DR G
NY
01
—
101835
LICENSE DR K
NY
Enumeration date
07/28/2006
Last updated
08/22/2020
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