Individual
MS. MINNIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4446 HILL AVE, BRONX, NY 10466-1136
(917) 715-8165
Mailing address
4446 HILL AVE, BRONX, NY 10466-1136
(917) 715-8165
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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