Individual
DR. CORI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST # 139, NEW YORK, NY 10065-4870
(212) 746-0921
Mailing address
525 E 68TH ST # 139, NEW YORK, NY 10065-4870
(212) 746-0921
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
240316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131623978
—
NY
Enumeration date
08/17/2006
Last updated
12/18/2018
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