IndividualActive
Adina Green, DMD
NPI 1073583209 · Dentist · Lake Success, NY
Provider details
- NPI number
- 1073583209
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- License
- 041955 (NY)
Specialties & taxonomies
Dental Providers
Practice location
2001 Marcus Ave
Ste 168 S
Lake Success, NY 11042
Phone: (516) 775-2004
Fax: (516) 829-7987
Approximate (ZIP-level) locationGet directions
Mailing address
2001 Marcus Ave
Lake Success, NY 11042
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.