Individual
ASHARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 FLUSHING AVE, BROOKLYN, NY 11206
(718) 387-7888
Mailing address
630 FLUSHING AVE, BROOKLYN, NY 11206-5026
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292155
NY
Other
Enumeration date
11/20/2017
Last updated
09/05/2018
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