Individual
JENNIFER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST STE 2120, PENN YAN, NY 14527-1124
(315) 531-3448
Mailing address
417 LIBERTY ST STE 2120, PENN YAN, NY 14527-1124
(315) 531-3448
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
543075-1
NY
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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