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1790856581
LONNIE I GREEN
NEW HYDE PARK, NY
NPI
1790856581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010707-1)
Enumeration Date
2006-11-13
Last Update Date
2008-10-30
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
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Mailing Address
-- LONNIE I GREEN PA
3431 KNIGHT ST
OCEANSIDE, NY 11572-4638
Phone number: 516-608-8387
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