Individual
DR. MARK W. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-8455
(212) 305-8530
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-8455
(212) 305-8530
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
124076
NY
Other
Enumeration date
10/10/2006
Last updated
05/22/2012
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