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Individual

SIERRA GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4 FERN PLACE, PLAINVIEW, NY 11803
(516) 933-4700
(516) 653-0110
Mailing address
4 FERN PL, PLAINVIEW, NY 11803-4725
(516) 933-4700
(516) 653-0110

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
100476
NY

Other

Enumeration date
06/08/2017
Last updated
07/21/2022
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