Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 163845 | NY |
NPI | 1013942747 |
---|---|
Provider Name | Dr. William H Greene |
First Address | Stony Brook, NY 11790 |
Second Address | East Setauket, NY 11733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00916156 | (05) | NY |
5195117 | AETNA (01) | NY |
52D48 | EMPIRE BC.BS (01) | NY |
B15930 | (02) | NY |