Individual
DR. WAYNE HUGO GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 S MOUNTAIN RD, NEW CITY, NY 10956-5707
(917) 612-2986
Mailing address
600 S MOUNTAIN RD, NEW CITY, NY 10956-5707
(917) 612-2986
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
101439 MD
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
101439 MD
NY
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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