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ROGER GREEN M.D. PLLC NPI 1023147683


NPI Information

NPI: 1023147683
Provider Name: ROGER GREEN, M.D., PLLC
Classification: Pediatrics - 2080S0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
PINE WEST PLAZA, BLDG. #1
WASHINGTON AVENUE EXTENSION
ALBANY, NY
ZIP 12205
Phone: (518) 464-9999
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ROGER GREEN, M.D., PLLC is a sleep medicine pediatrics in Albany, NY. The provider is a Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. ROGER GREEN, M.D., PLLC NPI is 1023147683. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

PINE WEST PLAZA, BLDG. #1
WASHINGTON AVENUE EXTENSION
ALBANY, NY
ZIP 12205
Phone: (518) 464-9999
Fax: (518) 464-9650

The provider's authorized official is Roger D Green .
The authorized official title is Md Owner and has the following contact phone number (518) 464-9999.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080S0012XPediatricsSleep Medicine179477NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101258988MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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