Green, Richard M

Green, Richard M is an individual health care provider with primary practice located at 161 Fort Washington Ave 5Th Fl, New York NY 10032-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Green, Richard M can be contacted via phone (212) 305-8591.

Contact Information

Primary practice address
161 Fort Washington Ave 5Th Fl New York NY 10032-3729
Phone: (212) 305-8591
Fax: (212) 342-3252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 108803 New York

Profile Details

NPI number 1639133762
LBN Legal business name Green, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Sep 18th, 2013 - about 11 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 1639133762 NPPES
New York Other 108803 LICENSE #
New York MEDICAID 00453952 LICENSE #

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