National Provider Identifier
Nicholas John Green, PA-C
Nicholas John Green, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 986-9199.
Profile Overview
- NPI
- 1811580517
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- February 15, 2021
- Last Updated
- February 15, 2021
Practice Location
- 34 Benwood Ave
- Buffalo, NY 14214-1761
Phone: (716) 986-9199
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1811580517
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Nicholas
- Middle Name
- John
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 34 Benwood Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1761
- Mailing Country
- US
- Mailing Phone
- (716) 986-9199
- Practice Street Address
- 34 Benwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1761
- Practice Country
- US
- Practice Phone
- (716) 986-9199
- Enumeration Date
- February 15, 2021
- Last Updated
- February 15, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)