Individual
CATHERINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E 14TH ST STE 200, BROOKLYN, NY 11235-3973
(718) 769-2698
(718) 401-0108
Mailing address
1767 BEDFORD AVE APT 5, BROOKLYN, NY 11225-3331
(646) 204-1116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
688858
NY
Other
Enumeration date
12/31/2013
Last updated
02/13/2014
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