Individual
MR. GEORGE EDWARD GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 RIVERSIDE DRIVE, APT 9F, NEW YORK, NY 10024-1616
(212) 362-0565
Mailing address
175 RIVERSIDE DRIVE, APT 9F, NEW YORK, NY 10024-1616
(212) 362-0565
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
080340-1
NY
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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