Individual
MICHELLE GOLDBERG GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 E 61ST ST, SUITE 7E, NEW YORK, NY 10065-8183
(212) 317-1100
(212) 317-1391
Mailing address
115 E 61ST ST, SUITE 7E, NEW YORK, NY 10065-8183
(212) 317-1100
(212) 317-1391
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
254117
NY
Other
Enumeration date
05/09/2008
Last updated
08/08/2012
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