Individual
ANDRE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 MYRTLE AVE, NEW WINDSOR, NY 12553-6525
(917) 656-6809
Mailing address
11 MYRTLE AVE, NEW WINDSOR, NY 12553-6525
(845) 276-3659
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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