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Dr. Evan Green, DO
Student in an Organized Health Care Education/Training Program in Plainview, New York
NPI 1023462744

Evan Green is a Student in an Organized Health Care Education/Training Program based in Plainview, NY. Evan Green practices in Plainview, NY and has the professional credentials of DO. The NPI Number for Evan Green is 1023462744 and holds a License No. 02006914A (New York).

The current practice location address for Evan Green is 888 Old Country Rd, Plainview, NY and can be reached out via phone at 760-490-7392.

Location: 888 Old Country Rd, Plainview, NY, 11803-4914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023462744
Provider Name
Evan Green
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
888 Old Country Rd, Plainview, NY, 11803-4914
Phone Number
760-490-7392
Fax Number
Provider Enumeration Date
04/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
888 Old Country Rd
City
Plainview
State
New York
Zip
11803-4914
Phone Number
760-490-7392
Fax Number
person
Provider Business Mailing Address Details
Address
888 Old Country Rd
City
Plainview
State
New York
Zip
11803-4914
Phone Number
760-490-7392
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Trauma
Taxonomy
207XX0801X
License No.
()
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic trauma surgeons deal with the evaluation and management of acute orthopedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
02006914A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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