National Provider Identifier Database

JEREMY GREEN, MD – NPI #1629090055
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JEREMY GREEN, MD
506 6TH ST
BROOKLYN, NY11215-3609
Phone: 718-780-5870
Fax: 718-780-7719
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JEREMY GREEN

NPI Number 1629090055
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 05/28/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 218026
  • NY Medicaid: 02639421
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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