Individual
RUTH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 E 149TH ST, BRONX, NY 10451-5601
(718) 769-2698
Mailing address
1037 FAILE ST, 2B, BRONX, NY 10459-3769
(646) 748-9531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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