Adina Simone Green DMD

NPI 1073583209 - Dentist - 122300000X

NPI Details
NPI 1073583209
Gender Female
Enumeration Date 01/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2001 MARCUS AVE
STE 168 S
LAKE SUCCESS NY, 11042, US
Phone (516) 775-2004
Fax (516) 829-7987
Business Location
2001 MARCUS AVE
STE 168 S
LAKE SUCCESS NY, 11042, US
Phone (516) 775-2004
Fax (516) 829-7987
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 041955
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According to our database, Adina Simone Green DMD NPI is 1073583209, taxonomy code is 122300000X and license number is 041955, license state is located at New York. Adina Simone Green DMD physically located at 2001 Marcus Ave, Lake Success NY, 11042. NPI Number Adina Simone Green DMD has the Individual type.

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1073583209 NPI number is provided on an as is basis without warranty of any kind. 1073583209 is maintained by the National Plan & Provider Enumeration System. The contents of Adina Simone Green DMD are for informational purposes only.