Nichole Green, PA

NPI #1376535393 in Olean, New York

Provider Information

NPI Number: 1376535393
Entity Type: Individual
Name: Nichole Green, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 16, 2005
Last Updated: Feb 16, 2012

Practice Location

Address: 535 MAIN ST
City: Olean
State: New York
ZIP Code: 14760-1513
Phone: (716) 372-0141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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