Individual
RICHARD M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, 5TH FL, NEW YORK, NY 10032-3729
(212) 305-8591
(212) 342-3252
Mailing address
PO BOX 27036, NEW YORK, NY 10087-7036
(212) 305-8591
(212) 342-3252
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
108803
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00453952
—
NY
01
—
108803
LICENSE #
NY
Enumeration date
04/14/2006
Last updated
09/18/2013
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