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Organization
GREEN LIFE CARE
Active
Organization
GREEN LIFE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ALVIZO (PRESIDENT)
(917) 519-5269
Entity
Organization
Contact information
Practice address
6921 182ND ST, FRESH MEADOWS, NY 11365-3533
(917) 519-5269
Mailing address
6921 182ND ST, FRESH MEADOWS, NY 11365-3533
(917) 519-5269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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