Individual
DR. MICHAEL D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
497 BEAHAN RD, ROCHESTER, NY 14624-3403
(585) 247-5400
(585) 319-4124
Mailing address
497 BEAHAN RD, ROCHESTER, NY 14624-3403
(585) 247-5400
(585) 319-4124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
176492
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000922968001
HEALTH NOW
NY
01
—
010176492
BLUE CHOICE
NY
05
—
01172072
—
NY
01
—
101264DL
PREFERRED CARE
NY
01
—
6550
BLUE CROSS & BLUE SHIELD
NY
01
—
AETNA
4562184
NY
Enumeration date
01/25/2007
Last updated
06/30/2017
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