Individual
DR. STEPHEN H GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00169571
—
NY
Enumeration date
04/19/2007
Last updated
07/08/2007
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