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Provider Information for 1538333653

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. BRYAN L GREEN MD

Gender: MALE

Individual NPI: 1538333653

Calendar   Last Updated:  2011-01-13
  Certification Date: 

Details

Name Value
NPI 1538333653
Enumeration Date 2008-04-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 1722
WHITE PLAINS, NY 10602-1722
United States

Phone: 914-683-0443 | Fax: 914-683-8620
View Map External Link
Primary Practice Address 30 DAVIS AVE
WHITE PLAINS, NY 10605-1041
United States

Phone: 914-683-0443 | Fax: 914-683-8620
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 207RG0100X - Internal Medicine Gastroenterology NY 242751