Individual
DR. PHILIP GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
177 FT WASHINGTN AVE, NEW YORK, NY 10032-3733
(212) 342-3616
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-3616
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
253211
NY
207RI0011X
Interventional Cardiology Physician
Primary
253211
NY
Other
Enumeration date
02/12/2007
Last updated
03/11/2020
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