Individual
DR. JUDITH MASON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
286 5TH AVE, 10F, NEW YORK, NY 10001-4512
(212) 244-1722
(212) 686-5330
Mailing address
286 5TH AVE, 10F, NEW YORK, NY 10001-4512
(212) 244-1722
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006298
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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