Individual
DR. PETER H.R. GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 FORT WASHINGTON AVE, HARKNESS PAVILLION, SUITE 956, NEW YORK, NY 10032-3735
(212) 305-5590
(212) 305-3738
Mailing address
180 FORT WASHINGTON AVENUE, HARKNESS PAVILLION, SUITE 956, NEW YORK, NY 10032
(212) 305-5590
(212) 305-3738
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
134307
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NS1193
OXFORD PROVIDER ID
NY
Enumeration date
08/02/2006
Last updated
07/08/2007
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