Individual
DR. MICHAEL DAVID GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, D.ABA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(914) 471-3575
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
319447
NY
207L00000X
Anesthesiology Physician
A161996
CA
207LP3000X
Pediatric Anesthesiology Physician
319447
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2017
Last updated
01/11/2025
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