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1114909512
KENNETH R. GREEN
SYRACUSE, NY
NPI
1114909512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: NY 130245)
Enumeration Date
2005-11-19
Last Update Date
2008-02-14
Business Address
Mr. KENNETH R. GREEN M.D.
1304 BUCKLEY RD
SYRACUSE, NY 13212-4302
Phone number: 315-478-3311
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Mailing Address
Mr. KENNETH R. GREEN M.D.
1304 BUCKLEY ROAD
SYRACUSE, NY 13212
Phone number: 315-478-3311
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