Individual
NICHOLAS Y GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 409-8952
Mailing address
9500 EUCLID AVE # E19, CLEVELAND, OH 44195-0001
(440) 409-8952
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50.007625RX
OH
Other
Enumeration date
01/18/2021
Last updated
11/17/2022
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