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Individual

DR. KAREN M. GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
775 PARK AVE, SUITE 145, HUNTINGTON, NY 11743-3976
(631) 367-5395
(631) 351-4561
Mailing address
775 PARK AVE, SUITE 145, HUNTINGTON, NY 11743-3976
(631) 367-5395
(631) 351-4561

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
147226-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14D723
BLUE CROSS/ BLUE SHIELD
NY
01
CS114
OXFORD
NY
01
N92837
HEALTHNET
NY
Enumeration date
07/31/2006
Last updated
07/09/2008
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