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Individual

DEBRA GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 ROUTE 59, AIRMONT, NY 10901-4927
(845) 369-9701
Mailing address
100 ROUTE 59, AIRMONT, NY 10901-4927
(845) 369-9701

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10857
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10857
CASAC
NY
Enumeration date
06/02/2016
Last updated
06/02/2016
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