KRISTEN M GREEN PA

ALICE HYDE MEDICAL CENTER

Dr KRISTEN M GREEN PA is a female medical professional, specializing in Physician Assistant. She graduated in 1995 from Albany Medical College Of Union University.

Contact

ALICE HYDE MEDICAL CENTER

134 PARK ST
MALONE
NY
129531251

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KRISTEN M GREEN PA Information

Npi 1093891145
Pac Id 0345136123
Professional Enrollment Id I20040227000104
Last Name GREEN
First Name KRISTEN
Middle Name M
Suffix
Gender F
Credential PA
Medical School Name ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year 1995
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALICE HYDE MEDICAL CENTER
Group Practice Pac Id 4082525837
Number Of Group Practice Members 57
Line 1 Street Address 134 PARK ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MALONE
State NY
Zip Code 129531251
Phone Number
Hospital Affiliation Ccn 1 330084
Hospital Affiliation Lbn 1 ALICE HYDE MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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