Individual
DR. JOHN DOUGLAS GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5290 MILITARY RD, SUITE 8, LEWISTON, NY 14092-1953
(716) 297-9379
(716) 297-4638
Mailing address
908 NIAGARA FALLS BLVD, STE 208, N TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 332-3525
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
126103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00743577
—
NY
Enumeration date
12/08/2005
Last updated
11/27/2009
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