Individual
DR. JONAH STEVEN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1809
(718) 685-4846
Mailing address
620 WILSON AVE, PMB #95, BROOKLYN, NY 11207
(718) 406-6037
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
229690
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02821983
—
NY
Enumeration date
08/02/2006
Last updated
02/21/2024
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