Individual
DR. JUDITH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 FRANKLIN PL, WOODMERE, NY 11598-1218
(516) 295-1200
Mailing address
145 FRANKLIN PL, WOODMERE, NY 11598-1218
(516) 295-1200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
272060
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2011
Last updated
06/06/2014
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