Individual
DR. STEPHEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD, SUITE 500, MINEOLA, NY 11501-4064
(516) 663-4480
Mailing address
120 MINEOLA BLVD, SUITE 500, MINEOLA, NY 11501-4064
(516) 663-4480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
147300
NY
Other
Enumeration date
01/24/2007
Last updated
08/05/2021
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