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Individual
MR. DANA GREENE
Active
Individual
MR. DANA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DIP.MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0095411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095411
NY STATE LISENCE NUMBER
NY
Enumeration date
06/10/2005
Last updated
07/08/2007
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