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Individual

DENISE BEATRICE GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 453-2273
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013050
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00013050
NY
01
10083256
CDPHP
01
714332
MVP
Enumeration date
05/02/2006
Last updated
03/22/2019
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