Individual
DAWN J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263
(716) 845-2300
(716) 845-3300
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007922
NY
363AM0700X
Medical Physician Assistant
007922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165084
—
NY
Enumeration date
11/02/2005
Last updated
01/13/2021
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