MR. NICHOLAS JOHN GREEN PA-C NPI 1811580517

NPI Information

MR. Nicholas John Green, PA-C is a medical physician assistant in Buffalo, NY with 4 years of experience. MR. Nicholas John Green, PA-C NPI is 1811580517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34 BENWOOD AVE
BUFFALO, NY
ZIP 14214-761
Phone: (716) 986-9199

The NPI 1811580517 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2021 and was last updated on 2/15/2021.

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:

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