Green, Karen M.

Green, Karen M. is an individual health care provider with primary practice located at 775 Park Ave Suite 145, Huntington NY 11743-3976. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Green, Karen M. can be contacted via phone (631) 367-5395.

Contact Information

Primary practice address
775 Park Ave Suite 145 Huntington NY 11743-3976
Fax: (631) 351-4561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 147226-1 New York

Profile Details

NPI number 1164438065
LBN Legal business name Green, Karen M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 9th, 2008 - about 16 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 1164438065 NPPES
New York Other N92837 HEALTHNET
New York Other 14D723 HEALTHNET
New York Other CS114 HEALTHNET

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