Individual
BROOKE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
352 7TH AVE RM 801, NEW YORK, NY 10001-5655
(646) 418-1172
Mailing address
352 7TH AVE RM 801, NEW YORK, NY 10001-5655
(646) 418-1172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023508
NY
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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