National Provider Identifier
Justin M Green, M.D.
Justin M Green, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in W Amherst, NY and a listed phone number of (716) 564-1111.
Profile Overview
- NPI
- 1639525884
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 06, 2016
- Last Updated
- July 22, 2019
Practice Location
- 3950 E Robinson RD Ste 207
- W Amherst, NY 14228-2044
Phone: (716) 564-1111
Mailing Address
- 1150 Youngs RD Ste 104
- Williamsville, NY 14221-8096
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1639525884
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Justin
- Middle Name
- M
- Credential
- M.D.
- Mailing Street Address
- 1150 Youngs RD Ste 104
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8096
- Mailing Country
- US
- Mailing Phone
- (716) 636-7990
- Mailing Fax
- (716) 636-7993
- Practice Street Address
- 3950 E Robinson RD Ste 207
- Practice City
- W Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228-2044
- Practice Country
- US
- Practice Phone
- (716) 564-1111
- Practice Fax
- (716) 564-1128
- Enumeration Date
- May 06, 2016
- Last Updated
- July 22, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)