NPI 1154301000

Richard W Green, MD

Practitioner Dermatology Physician Bronx, NY

Practice location

Address: 2100 Bartow Ave Suite 211, Bronx, NY 10475-4614
Phone: (718) 671-1000
Fax: (212) 765-3210
Mailing address: 200 Central Park S Suite 107, New York, NY 10019-1436

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 79669 (NY)

Other Dermatology providers in New York →

Registry record

NPI: 1154301000
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2006
Record last updated: 18 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.