Individual
DR. SANFORD MICHAEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
240 W 73RD ST, NEW YORK, NY 10023-2700
(212) 595-8200
(212) 496-2588
Mailing address
240 W 73RD ST, NEW YORK, NY 10023-2700
(212) 595-8200
(212) 496-2588
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695758
—
NY
Enumeration date
06/19/2006
Last updated
07/08/2007
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