Individual
CONOR JOHN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-3300
Mailing address
280 CROWN ST APT C1, BROOKLYN, NY 11225-2308
(631) 662-7285
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
022764
NY
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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