Individual
DR. PAUL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 HOWARD AVE STE LOWER, NEW HAVEN, CT 06519
(203) 785-4085
Mailing address
15 YORK ST, NEW HAVEN, CT 06510-3221
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
158280-1
NY
2084N0400X
Neurology Physician
Primary
64469
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02370276
—
NY
Enumeration date
11/30/2006
Last updated
11/06/2019
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