Green, Richard W

Green, Richard W is an individual health care provider with primary practice located at 2100 Bartow Ave Suite 211, Bronx NY 10475-4614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Green, Richard W can be contacted via phone (718) 671-1000.

Contact Information

Primary practice address
2100 Bartow Ave Suite 211 Bronx NY 10475-4614
Phone: (718) 671-1000
Fax: (212) 765-3210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 79669 New York

Profile Details

NPI number 1154301000
LBN Legal business name Green, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Dec 18th, 2014 - about 10 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 1154301000 NPPES
Other 143991 BLUE CROSS BLUE SHIELD
Other P62303155 BLUE CROSS BLUE SHIELD
Other P853378 BLUE CROSS BLUE SHIELD
Other 1935505 BLUE CROSS BLUE SHIELD

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