Green, Herbert M

Green, Herbert M is an individual health care provider with primary practice located at 161 E Main St Suite 300, Port Jervis NY 12771-2113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Herbert M can be contacted via phone (845) 856-3284.

Contact Information

Primary practice address
161 E Main St Suite 300 Port Jervis NY 12771-2113
Phone: (845) 856-3284
Fax: (845) 856-3306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD438011 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 143931 New York

Profile Details

NPI number 1619919552
LBN Legal business name Green, Herbert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 19th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619919552 NPPES
New York MEDICAID 01723019

Popular Providers