Individual
MEGAN MARGARET GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
109 W 27TH ST SUITE 5S TALKIATRY, NEW YORK, NY 10001
(917) 634-5311
Mailing address
105 N ROWLAND ST, RICHMOND, VA 23220
(631) 566-5743
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102205918
VA
2084P0800X
Psychiatry Physician
316772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116031898
VIRGINIA LICENSE
VA
Enumeration date
05/11/2018
Last updated
04/21/2025
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