Individual
DR. DANIEL W GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1631
(212) 774-2776
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(212) 606-1631
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
036159
CT
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
1907421
NY
2086S0120X
Pediatric Surgery Physician
1907421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010036159CT03
ANTHEM BLUE CROSS
CT
01
—
010190742NY01
ANTHEM BLUE CROSS
NY
05
—
01802368
—
NY
01
—
134027951
THE EMPIRE PLAN
NY
01
—
81G881
EMPIRE BLUE CROSS
NY
01
—
P1122514
OXFORD HEALTH PLAN
NY
Enumeration date
11/13/2006
Last updated
12/21/2020
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