Skip Navigation

Provider Information for 1184032336

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

BISHOP GREEN

Gender: MALE

Individual NPI: 1184032336

Calendar   Last Updated:  2014-07-31
  Certification Date: 

Details

Name Value
NPI 1184032336
Enumeration Date 2014-07-31
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 11231 DILLON ST
JAMAICA, NY 11433-3826
United States

Phone: 516-451-7670 | Fax: 718-657-0193
View Map External Link
Primary Practice Address 11231 DILLON ST
JAMAICA, NY 11433-3826
United States

Phone: 516-451-7670 | Fax: 718-657-0193
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other TRANSPORTATION NY 900677972
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 343900000X - Non-emergency Medical Transport (VAN)