NPI 1154757573 DR. JOHN LEWIS GREEN M.D PENFIELD NY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. John Lewis Green - NPI: 1154757573

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. JOHN LEWIS GREEN
NPI Number: 1154757573
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D
License Number: 093767
Business Practice Address: 20 Fairvale Dr
Penfield, NY - 14526
Business Phone Number: 5853870025
Business Fax Number:
Mailing Address: 20 Fairvale Dr,
PENFIELD
State: NY
Postal Code: 14526
Phone Number: 5853870025
Fax Number:
NPI Enumeration Date: 09/17/2013
NPI Last Update Date: 09/17/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2080A0000X
License Number: 093767
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NY
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Pediatrics
Taxonomy Specialization: Adolescent Medicine
Taxonomy Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


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