Individual
DR. MARY V GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4811 BUCKLEY RD, LIVERPOOL, NY 13088-3676
(315) 457-9966
(315) 457-9854
Mailing address
4811 BUCKLEY RD, LIVERPOOL, NY 13088
(315) 457-9966
(315) 457-9854
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
124467
NY
Other
Enumeration date
05/02/2006
Last updated
04/11/2019
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