Individual
ANGELA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065
(646) 888-6792
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 888-6792
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
284776
NY
390200000X
Student in an Organized Health Care Education/Training Program
191656
NC
Other
Enumeration date
05/07/2013
Last updated
04/24/2019
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