Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 036159 | CT |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 1907421 | NY |
N | 2086S0120X | Pediatric Surgery | 1907421 | NY |
NPI | 1265503189 |
---|---|
Provider Name | Dr. Daniel W Green |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 21/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010036159CT03 | ANTHEM BLUE CROSS (01) | CT |
010190742NY01 | ANTHEM BLUE CROSS (01) | NY |
01802368 | (05) | NY |
134027951 | THE EMPIRE PLAN (01) | NY |
81G881 | EMPIRE BLUE CROSS (01) | NY |
G50037 | (02) | |
P1122514 | OXFORD HEALTH PLAN (01) | NY |