Michael Green, MD

NPI #1073900171 in Syosset, New York

Provider Information

NPI Number: 1073900171
Entity Type: Individual
Name: Michael Green, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 16, 2015
Last Updated: Dec 3, 2018

Practice Location

Address: 103 JACKSON AVE
City: Syosset
State: New York
ZIP Code: 11791-3624
Phone: (516) 537-9062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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