Individual
KATHLEEN ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10021-1850
(212) 434-2565
(212) 434-4149
Mailing address
66 REYNOLDS ST, BRONX, NY 10464-1516
(718) 885-1157
(718) 885-0996
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350059
NY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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