Individual
MRS. BETHANY WESTON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 E 42ND ST, NEW YORK, NY 10017-5612
(212) 661-8139
Mailing address
301 CUMBERLAND ST APT F5, BROOKLYN, NY 11238-1045
(919) 605-5083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340729
NY
Other
Enumeration date
06/28/2016
Last updated
12/10/2016
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