Individual
CHARLES GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 483-5000
Mailing address
26 FIELDSTONE DR, MIDDLETOWN, NY 10940-3021
(646) 262-9781
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090250
NY
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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