Skip Navigation

Provider Information for 1265503189

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

DR. DANIEL W GREEN MD

Gender: MALE

Individual NPI: 1265503189

Calendar   Last Updated:  2020-12-21
  Certification Date:  2020-12-21

Details

Name Value
NPI 1265503189
Enumeration Date 2006-11-13
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address PO BOX 29234
NEW YORK, NY 10087-9234
United States

Phone: 212-606-1631 | Fax:
View Map External Link
Primary Practice Address 535 E 70TH ST
NEW YORK, NY 10021-4823
United States

Phone: 212-606-1631 | Fax: 212-774-2776
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Direct CCDA 535 E 70TH ST
NEW YORK, NY 10021-4823
United States
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct CCDA 535 E 70TH ST
NEW YORK, NY 10021-4823
United States
Direct Messaging Address dgreen7233@direct.HSS.edu Direct CCDA 535 E 70TH ST
NEW YORK, NY 10021-4823
United States
Other Identifiers
Issuer State Number
Other THE EMPIRE PLAN NY 134027951
Other EMPIRE BLUE CROSS NY 81G881
Other OXFORD HEALTH PLAN NY P1122514
Other ANTHEM BLUE CROSS CT 010036159CT03
MEDICAID NY 01802368
Other ANTHEM BLUE CROSS NY 010190742NY01
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207XP3100X - Orthopaedic Surgery Pediatric Orthopaedic Surgery NY 1907421
No 207XP3100X - Orthopaedic Surgery Pediatric Orthopaedic Surgery CT 036159
No 2086S0120X - Surgery Pediatric Surgery NY 1907421