Green, Leslie J

Green, Leslie J is an sole proprietor health care provider with primary practice located at 1 Hatfield Ln Ste 3 Eye Physicians Of Orange County Pc, Goshen NY 10924-6752. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Green, Leslie J can be contacted via phone (845) 294-5128.

Contact Information

Primary practice address
1 Hatfield Ln Ste 3 Eye Physicians Of Orange County Pc Goshen NY 10924-6752
Phone: (845) 294-5128
Fax: (845) 294-1479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 149367 New York

Profile Details

NPI number 1124002597
LBN Legal business name Green, Leslie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Jan 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124002597 NPPES
New York MEDICAID 00837976

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