Individual
BRIAN THEODORE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
(845) 568-2395
Mailing address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
(845) 568-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012183-1
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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