Green, David Alan
Green, David Alan is an individual health care provider with primary practice located at 762 Bedford Ave , Brooklyn NY 11205-1573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Green, David Alan can be contacted via phone (718) 947-2570.Contact Information
Primary practice address
762 Bedford Ave
Brooklyn NY 11205-1573
Phone: (718) 947-2570
Fax: (718) 947-2571
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 195970 | New York |
Profile Details
NPI number | 1245226125 |
---|---|
LBN Legal business name | Green, David Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Sep 2nd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245226125 | NPPES |
New York | MEDICAID | 01797828 |
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