Individual
JUSTIN M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 E ROBINSON RD STE 207, W AMHERST, NY 14228-2044
(716) 564-1111
(716) 564-1128
Mailing address
1150 YOUNGS RD STE 104, WILLIAMSVILLE, NY 14221-8096
(716) 636-7990
(716) 636-7993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
300292
NY
Other
Enumeration date
05/06/2016
Last updated
07/22/2019
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