Green, Louis Mayer

Green, Louis Mayer is an individual health care provider with primary practice located at 1001 W Fayette St Suite 400, Syracuse NY 13204-2859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Louis Mayer can be contacted via phone (315) 472-1488.

Contact Information

Primary practice address
1001 W Fayette St Suite 400 Syracuse NY 13204-2859
Phone: (315) 472-1488
Fax: (315) 472-8060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 131887 New York

Profile Details

NPI number 1780689091
LBN Legal business name Green, Louis Mayer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Oct 14th, 2016 - about 8 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 1780689091 NPPES
New York MEDICAID 00625434

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