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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL ROBERT GREEN

Active

DANIEL ROBERT GREEN is a Physician Assistant healthcare provider located in FAYETTEVILLE, New York. NPI 1700288966 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FAYETTEVILLE, NY

Registration Details

NPI Number
1700288966
Provider Type
Individual
Gender
Male
NPI Issued
Sep 18, 2014 (11.723571410865 yrs)
Last Updated
Sep 18, 2014

Practice Information

Address
212 HIGHBRIDGE ST
SUITE A
FAYETTEVILLE, NY, 130661981
Browse NY providers · Browse ZIP 13066
Phone
3156379116
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FAYETTEVILLE, NY

Name Credential NPI
TRACY A VAUGHN RPA 1598766354
MRS. JILL M. JOHNSTONE PA 1144288630
DEANNA RAYMOND ALLEN P.A 1407894520
MATTHEW STEPHEN SHUTE PA 1639198526
RACHEL MARIE DAMON RPA-C 1558507251
MR. DAVID NAGEL HAMMACK P.A. 1497006043
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.