Individual
MRS. ELIZABETH ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 CHESTNUT ST, CORNING, NY 14830-2514
(607) 937-6201
Mailing address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2255
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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