Individual
WILLIAM GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 W END AVE, APT 7P, NEW YORK, NY 10023-5503
(212) 874-2562
Mailing address
165 W END AVE, APT 7P, NEW YORK, NY 10023-5503
(212) 874-2562
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125902
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00298797
—
NY
Enumeration date
08/17/2005
Last updated
07/08/2007
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