| NPI | 1538989405 |
|---|---|
| Doing Business As | MITCHELL B GREEN DC DACRB |
| Entity Type | Organization |
| Authorized Contact | MITCHELL B GREEN Owner / Provider 212-269-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |