Individual
DR. MICHAEL D GREEN
Active
Individual
DR. MICHAEL D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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