LONNIE I GREEN

NEW HYDE PARK, NY
NPI1790856581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  010707-1)
Enumeration Date2006-11-13
Last Update Date2008-10-30
Business Address
-- LONNIE I GREEN PA
27005 76TH AVE LONG ISLAND JEWISH MEDICAL CENTER
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-7000
Mailing Address
-- LONNIE I GREEN PA
3431 KNIGHT ST
OCEANSIDE, NY 11572-4638
Phone number: 516-608-8387