Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Michele Green, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1174779565

MS. Michele Green, PHYSICIANASSISTANT is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

320 E 94th St
New York, NY 10128-5604 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 423-2875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 002459-1 (NY)

Record details

NPI number1174779565
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 18, 2008
Last updated in NPPESAugust 18, 2008

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