National Provider Identifier

Dawn J Green, PA

Dawn J Green, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1407847064Buffalo, NYPhysician Assistant

Profile Overview

NPI
1407847064
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 02, 2005
Last Updated
January 13, 2021

Practice Location

  • Elm And Carlton Streets
  • Buffalo, NY 14263

Phone: (716) 845-2300

Mailing Address

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1407847064
Entity Type
Individual
Last Name
Green
First Name
Dawn
Middle Name
J
Credential
PA
Mailing Street Address
Elm And Carlton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Mailing Fax
(716) 845-3300
Practice Street Address
Elm And Carlton Streets
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-3300
Enumeration Date
November 02, 2005
Last Updated
January 13, 2021
Sex
Female
Sole Proprietor
No
Certification Date
January 13, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)
Other Identifiers
02165084 (NY)