Green, William

Green, William is an individual health care provider with primary practice located at 165 W End Ave Apt 7P, New York NY 10023-5503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Green, William can be contacted via phone (212) 874-2562.

Contact Information

Primary practice address
165 W End Ave Apt 7P New York NY 10023-5503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 125902 New York

Profile Details

NPI number 1821080623
LBN Legal business name Green, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 8th, 2007 - about 17 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 1821080623 NPPES
New York MEDICAID 00298797

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