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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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GREEN, MARK WILLIAM       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: ROOSEVELT HSP HEADACHE INST
1000 TENTH AVE & 58TH
SUITE 1C-10
NEW YORK NY 10019
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 20082
Dated: 2/26/1997
Expires: 2/1/2001
License Type: Medical Doctor
Specialty: Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: A Einstein Col Med Yeshiva Univ, Bronx Ny 10461
Graduated: 6 / 1974
CME Year: 2001
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ROOSEVELT HSP HEADACHE INST
1000 TENTH AVE & 58TH
SUITE 1C-10
NEW YORK NY 10019

Phone #:
Fax #:

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