Green Diagnostic Imaging PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

195970 Issued in NY

Legal business name

GREEN DIAGNOSTIC IMAGING PC

Practice address

4640 Livingston Ave
Bronx, NY 10471-3335

Phone

(917) 608-2277

NPI assigned

Nov 29, 2010

Last updated

Nov 29, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David A Green

Title

Doctor

Phone

(917) 608-2277

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1063714988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 LIVINGSTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 LIVINGSTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713335",
            "telephone_number": "917-608-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN DIAGNOSTIC IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "917-608-2277",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "195970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Greaves-Jones
• Catherine Greaves, RN
• Sabina M Grech, MD
• Louis Joseph Greco, D.D.S.
• Victoria Marie Greco
• Green Pharmacy RX LLC
• Alicia Green
• Ariella Green
• Audra Green
• Brenda Green, NP

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.