Individual
MS. ELIZABETH JULIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
525 EAST 68TH ST., SUITE 651, NEW YORK, NY 10065-4870
(212) 746-5620
Mailing address
525 E 68TH ST, SUITE 651, BOX 99, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310586-01
NY
Other
Enumeration date
01/07/2022
Last updated
03/15/2022
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