Individual
DAVID ERIC GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
750 E ADAMS ST, 7-A ORTHOPEDICS, SYRACUSE, NY 13210-2306
(315) 464-9265
Mailing address
9051 PLAINVILLE RD, BALDWINSVILLE, NY 13027-9647
(315) 464-9265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003890
NY
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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