Dr. Karen M. Green
Procedural Dermatology
775 Park Ave Suite 145
Huntington
, New York 11743-3976
Dr. Karen M. Green
Procedural Dermatology
775 Park Ave Suite 145
Huntington
, New York 11743-3976
(631) 351-4561
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Karen M. Green
- 775 Park Ave Suite 145
- Huntington, NY
- Zip : 11743-3976
- Fax : (631) 351-4561
- Phone : (631) 367-5395
Second Address
- Dr. Karen M. Green
- 775 Park Ave Suite 145
- Huntington, NY
- Zip : 11743-3976
- Fax : (631) 351-4561
- Phone : (631) 367-5395
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 147226-1 | NY |
National Provider Identifier
| NPI | 1164438065 |
|---|---|
| Provider Name | Dr. Karen M. Green |
| First Address | Huntington, NY 11743-3976 |
| Second Address | Huntington, NY 11743-3976 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 09/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 14D723 | BLUE CROSS/ BLUE SHIELD (01) | NY |
| C05930 | (02) | NY |
| CS114 | OXFORD (01) | NY |
| N92837 | HEALTHNET (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.