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DIANE GREEN
NPI 1174900419
Nurse Practitioner - Family in New York, NY

Active since May 06, 2015
9131 QUEENS BVLD, NEW YORK, NY 11373(718) 779-7000(718) 697-6167 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diane Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE GREEN (NPI 1174900419) is an individual family provider in New York, New York, licensed in New York (F35236701) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1174900419
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANE GREEN
Location Address9131 QUEENS BVLDNew York, NY 11373-9997
Mailing Address91 31 Queens BlvdElmhurst, NY 11373-9997 · (718) 779-7000 · Fax (718) 697-6167
Phone(718) 779-7000
Fax(718) 697-6167
Sole ProprietorNo
Enumeration DateMay 6, 2015
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1174900419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F35236701
9131 QUEENS BVLD, New York, NY 11373
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Green's NPI number?

The NPI number for Diane Green is 1174900419. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Diane Green located?

Diane Green practices at 9131 Queens Bvld, New York, NY 11373. The listed phone number is (718) 779-7000.

What is Diane Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Diane Green was last updated on August 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.