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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245226125 NPPES
New York MEDICAID 01797828

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