Roger Green, M.D., Pllc

LBN: Roger Green, M.D., Pllc
Roger Green, M.D., Pllc is an health care organization with primary practice located at Pine West Plaza, Bldg. #1 Washington Avenue Extension, Albany NY 12205. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as the primary health care specialty. Roger Green, M.D., Pllc can be contacted via phone (518) 464-9999, or through Green, Roger D via phone (518) 464-9999.

Contact Information

Primary practice address
Pine West Plaza, Bldg. #1 Washington Avenue Extension Albany NY 12205
Phone: (518) 464-9999
Fax: (518) 464-9650
Website:
Map and Directions
Authorized official contact:
Name: Green, Roger D Doctor of Medicine (MD)
Phone: (518) 464-9999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 179477 New York

Profile Details

NPI number 1023147683
LBN Legal business name Roger Green, M.D., Pllc
DBA Doing business as
Authorized official Green, Roger D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023147683 NPPES
New York MEDICAID 01258988

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