# GREEN CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Care Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851260822
- **Authorized official:** MRS. NAWSHIN JAMIL DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 873-6893

## Contact information

- **Practice address:** 4112 77TH ST, ELMHURST, NY 11373-1996
- **Practice address phone:** (718) 873-6893
- **Mailing address:** 4112 77TH ST, ELMHURST, NY 11373-1996
- **Mailing address phone:** (718) 873-6893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 10/30/2025
- **Last updated:** 10/30/2025