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Provider Information for 1487099263

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

ANGELA GREEN MD

Gender: FEMALE

Individual NPI: 1487099263

Calendar   Last Updated:  2019-04-24
  Certification Date: 

Details

Name Value
NPI 1487099263
Enumeration Date 2013-05-07
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1275 YORK AVE
NEW YORK, NY 10065-6007
United States

Phone: 646-888-6792 | Fax:
View Map External Link
Primary Practice Address 1275 YORK AVE
NEW YORK, NY 10065
United States

Phone: 646-888-6792 | Fax:
View Map External Link
Secondary Practice Address ACC CLINIC CLB # 7705 120 MASON FARM ROAD
CHAPEL HILL, NC 27599-0001
United States

Phone: 919-966-1459 | Fax: 919-843-9355
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 207RX0202X - Internal Medicine Medical Oncology NY 284776
No 390200000X - Student in an Organized Health Care Education/Training Program NC 191656