Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 137093 | NY |
NPI | 1003815200 |
---|---|
Provider Name | Arthur S Greene |
First Address | Olean, NY 14760-1513 |
Second Address | Olean, NY 14760-1513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 24/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00769966 | (05) | NY |
D02244 | (02) | NY |