Individual
DR. MITCHELL BRUCE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
42 BROADWAY, SUITE 1530, NEW YORK, NY 10004-1617
(212) 269-0300
(212) 269-4060
Mailing address
42 BROADWAY, 1530, NEW YORK, NY 10004-1617
(212) 269-0300
(212) 269-4060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2787
NY
Other
Enumeration date
01/11/2007
Last updated
09/22/2008
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