Individual
NICHOLAS LEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 NORTHERN BLVD STE 118, GREENVALE, NY 11548-1220
(516) 563-7910
Mailing address
2200 NORTHERN BLVD STE 118, GREENVALE, NY 11548-1220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
297140
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
297140
NY
Other
Enumeration date
03/28/2013
Last updated
08/06/2025
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