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Individual
MS. ANN GREEN
Active
Individual
MS. ANN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
40401395
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
1285628552
AGENCY NPI NUMBER
NY
01
—
WVE061
AGENCY MEDICARE #
NY
Enumeration date
07/01/2011
Last updated
09/11/2025
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