Individual
MRS. ELLEN THERESA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L.
Contact information
Practice address
71 CLINTON RD, GARDEN CITY, NY 11530-4742
(516) 396-2500
Mailing address
661 HOOVER ST, EAST MEADOW, NY 11554-5431
(516) 804-0314
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
000688-1
NY
Other
Enumeration date
03/31/2011
Last updated
04/01/2011
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