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Individual

AMY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1 EMMA LN, CLIFTON PARK, NY 12065-3763
(516) 492-5708
(631) 467-0928
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(516) 492-5708
(631) 467-0928

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022437
NY
225100000X
Physical Therapist

Other

Enumeration date
08/19/2022
Last updated
11/09/2022
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