Debra Green, Md Pllc | |
115 E 57th St Suite 510 New York NY 10022-2049 | |
(212) 584-5402 | |
(212) 744-4072 |
Full Name | Debra Green, Md Pllc |
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Speciality | Internal Medicine |
Location | 115 E 57th St, New York, New York |
Authorized Official Name and Position | Debra Green (SOLE MEMBER) |
Authorized Official Contact | 2129883801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Debra Green, Md Pllc 115 E 57th St Suite 510 New York NY 10022-2049 Ph: (212) 584-2619 | Debra Green, Md Pllc 115 E 57th St Suite 510 New York NY 10022-2049 Ph: (212) 584-5402 |
NPI Number | 1003047580 |
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Provider Enumeration Date | 08/02/2009 |
Last Update Date | 10/18/2009 |
Identifier | Type | State | Issuer |
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1003047580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 247303 (New York) | Primary |
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Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |