Individual
MICHELE S GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
156 E 79TH ST APT 1B, SUITE 1B, NEW YORK, NY 10075-0570
(212) 535-3088
Mailing address
156 E 79TH ST APT 1B, SUITE 1B, NEW YORK, NY 10075-0570
(212) 535-3088
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
191657
NY
Other
Enumeration date
11/01/2006
Last updated
04/24/2013
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