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General NPI Number Information
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NPI Number | 1659908556
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Entity Type | Individual
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Provider Name | ILANA ESTHER GREEN MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 111 E 210TH ST
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City | BRONX
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State | NY
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Zip | 10467-2401
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Country | US
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Telephone | 718-920-5731
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 LEXINGTON AVE APT 15F
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City | NEW YORK
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State | NY
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Zip | 10029-7357
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Country | US
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Telephone | 301-602-7965
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 332001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 332001
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License Number State | NY
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