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Provider Information for 1427050301

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. ANDREW WOLFE GREEN M.D.

Gender: MALE

Individual NPI: 1427050301

Calendar   Last Updated:  2019-06-21
  Certification Date: 

Details

Name Value
NPI 1427050301
Enumeration Date 2005-08-11
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 425 ESSJAY RD STE 170
WILLIAMSVILLE, NY 14221-5782
United States

Phone: 716-630-1219 | Fax: 716-817-1726
View Map External Link
Primary Practice Address 3900 N BUFFALO ST
ORCHARD PARK, NY 14127-1842
United States

Phone: 716-656-4988 | Fax: 716-817-1719
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207KA0200X - Allergy & Immunology Allergy NY 124074-2