| Doctor Name: | MEGHAN GREEN |
| NPI Number: | 1043374259 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | F381703 |
| Business Practice Address: | 200 North St Suite 101 Geneva, NY - 144561561 |
| Business Phone Number: | 3157875100 |
| Business Fax Number: | 3157875108 |
| Mailing Address: | 200 North St, Suite 101 GENEVA |
| State: | NY |
| Postal Code: | 144561561 |
| Phone Number: | 3157875200 |
| Fax Number: | 3157875221 |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 12/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | F381703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |