LAUREL ANNE GREEN


Address: 1425 Portland Ave, Rochester, NY 14621
Phone: 5859225067

LAUREL ANNE GREEN (NPI# 1043232259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043232259
Entity Type Individual
Full Name LAUREL ANNE GREEN
Credential PA-C
Practice Address 1425 Portland Ave
Rochester
NY 14621
Mailing Address 100 Kings Hwy S
Rochester
NY 14617-5504
Practice Telephone 5859225067
Practice Fax Number 5859222908
Mailing Telephone 5859225067
Mailing Fax Number 5859222908
Enumeration Date 2006-07-24
Last Update Date 2019-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
012905 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 E Chester Pike, Ridley Park, PA 190781703 6105213333 6105212263
2 Coulter Rd, Clifton Springs, NY 144321122 3154621472 3154622639
1200 Driving Park Ave, Newark, NY 145131090 3153592123 3153592167

Other Providers LAUREL GREEN

NPI Name Taxonomy Address Enumeration
1710506597 Laurel Elizabeth Green Student in an Organized Health Care Education/Training Program 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-04-13
1811534720 Laurel Green Behavior Technician 3555 Kenyon St Ste 101, San Diego, CA 92110-5341 2019-12-10

Office Location

Street Address 1425 PORTLAND AVE
City ROCHESTER
State NY
Zip Code 14621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881697605 Joseph David Silverberg Ophthalmology 1425 Portland Ave, Rochester, NY 14621-3001 2005-05-24
1598372443 Chengu Niu Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-09-24
1194339085 Latanya Denise Brown Licensed Practical Nurse 1425 Portland Ave, Rochester, NY 14621-3011 2020-09-08
1487267134 Roberto M Voica Pharmacist 1425 Portland Ave, Rochester, NY 14621-3011 2020-08-24
1538770102 Utsav Joshi Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-08-16
1952911687 Ido Goldenberg Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-08-06
1669081378 Carlos Alejandro Portales Castillo Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-28
1427667617 Varun Bhalla Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-23
1871101550 Tamer Salhab Altamimi Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-17
1508474628 Hafsa Faisal Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619515327 Patti Humphrey Occupational Therapist 1831 Ridge Rd. East, Rochester, NY 14621 2019-12-12
1861956682 Sonya Thomas Counselor Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 2019-01-25
1811478357 Laura Iannella Student in an Organized Health Care Education/Training Program 1455 East Ridge, Rochester, NY 14621 2018-08-23
1982180345 Naman Sharma Student in an Organized Health Care Education/Training Program Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 2018-07-18
1699213447 Kara Mcallister Nurse Practitioner 370 East Ridge Road, Suite 400, Rochester, NY 14621 2017-02-01
1285082982 Universal Care Services, LLC In Home Supportive Care 64 Delamaine Drive, Rochester, NY 14621 2016-06-03
1700243896 Kenroy King I Registered Nurse 67 Warsaw Street, Rochester, NY 14621 2016-01-21
1154794808 Shari Venisee Licensed Practical Nurse 67 Carthage St, Rochester, NY 14621 2015-11-03
1114349024 Anthony Michael Plavsity Registered Nurse 1450 Clifford Ave, Rochester, NY 14621 2014-01-11
1033541107 The Community Place of Greater Rochester, Inc Case Management 500 Carter Street, Rochester, NY 14621 2013-07-31
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194340505 Kayleigh Marie Tourt Physician Assistant 222 Alexander St Fl 4, Rochester, NY 14607-4039 2020-06-11
1659923704 Colin J Montgomery Physician Assistant 2400 S Clinton Ave Bldg G2nd, Rochester, NY 14618-2668 2019-07-09
1184183592 Jera Delibashi Physician Assistant 89 Genesee St Fl 3, Rochester, NY 14611-3201 2019-03-15
1255808309 Lauren Leigh D'hont Physician Assistant 400 White Spruce Blvd Ste A, Rochester, NY 14623-1619 2018-10-26
1124547823 Lucas Polito Physician Assistant 1724 East Ridge Road, Rochester, NY 14622 2017-09-13
1629523956 Reggie Testa Cayetano Physician Assistant 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 2016-08-16
1891248373 Padma Priya Rathina Sabapathy Physician Assistant 1561 Long Pond Rd Ste 302, Rochester, NY 14626-4135 2016-08-01
1821407669 Amy C Dvorak Physician Assistant 1425 Portland Ave # 306, Rochester, NY 14621-3001 2014-08-06
1154741742 Amanda Buckner Physician Assistant 158 Sawgrass Dr, Floor 2, Rochester, NY 14620-4648 2014-04-22
1053749614 Amy Desantis Physician Assistant 9 Merrydale Drive, Rochester, NY 14624 2013-10-17
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Competitor

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City ROCHESTER
Zip Code 14621

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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