Individual
BENJAMIN JOSEPH GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-6644
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021599
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
05/21/2021
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