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NPI Code Detail

MEDICARE: DR. ANDREW WOLFE GREEN M.D.

MEDICARE: DR. ANDREW WOLFE GREEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207KA0200XAllergy Physician124074-2NY

General Provider Information

NPI Number : 1427050301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW WOLFE GREEN M.D.
Provider Business Mailing Address
First Line : 425 ESSJAY RD STE 170
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-5782
Country : US
Telephone Number : 716-630-1219
Fax Number : 716-817-1726
Provider Business Practice Location Address
First Line : 3900 N BUFFALO ST
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-1842
Country : US
Telephone Number : 716-656-4988
Fax Number : 716-817-1719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/08/2024

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