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General NPI Number Information
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NPI Number | 1265992333
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Entity Type | Individual
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Provider Name | NATTALY GREENE MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 622 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-5974
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Fax |
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Provider Business Mailing Address
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Address Line | 622 W 168TH ST # VC2-260
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 338431
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2024-01088
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License Number State | NC
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