Green, Robert
Green, Robert is an sole proprietor health care provider with primary practice located at 1 Gustave L Levy Pl Box 1200, New York NY 10029-6500. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Green, Robert can be contacted via phone (212) 241-6186.Contact Information
Primary practice address
1 Gustave L Levy Pl Box 1200
New York NY 10029-6500
Phone: (212) 241-6186
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 170161 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 170161 | New York |
Profile Details
| NPI number | 1275500886 |
|---|---|
| LBN Legal business name | Green, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Mar 26th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275500886 | NPPES |
| New York | MEDICAID | 01035932 |
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