Organization
GREENSPARK HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNELLE ERNEST-HILL RN (CEO)
(914) 269-3688
Entity
Organization
Contact information
Practice address
11 W PROSPECT AVE # 35, MOUNT VERNON, NY 10550-2017
(914) 269-3688
Mailing address
132 NORTH RD, WHITE PLAINS, NY 10603-2935
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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