Mark W. Green M.D.

NPI 1497843312 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1497843312
Gender Male
Enumeration Date 10/10/2006
Last Updated 05/22/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
710 W 168TH ST
NEW YORK NY, 10032-3726, US
Phone (212) 305-8455
Fax (212) 305-8530
Business Location
710 W 168TH ST
NEW YORK NY, 10032-3726, US
Phone (212) 305-8455
Fax (212) 305-8530
Toxanomy
Taxonomy Code 2084N0400X
License State New York
License Number 124076
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According to our database, Dr. Mark W. Green M.D. NPI is 1497843312, taxonomy code is 2084N0400X and license number is 124076, license state is located at New York. Mark W. Green M.D. physically located at 710 W 168th St, New York NY, 10032-3726. NPI Number Mark W. Green M.D. has the Individual type.

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1497843312 NPI number is provided on an as is basis without warranty of any kind. 1497843312 is maintained by the National Plan & Provider Enumeration System. The contents of Mark W. Green M.D. are for informational purposes only.