Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lonnie I Green, PA

Individual provider Physician Assistant · NPI 1790856581

Lonnie I Green, PA is a Physician Assistant in New Hyde Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

27005 76th Ave Long Island Jewish Medical Ctr
New Hyde Park, NY 11040-1402
Phone: (718) 470-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010707-1 (NY)

Record details

NPI number1790856581
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 13, 2006
Last updated in NPPESOctober 30, 2008

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