Individual
AMINA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
796 LIVINGSTON AVE, ALBANY, NY 12206-2003
(518) 366-7942
Mailing address
796 LIVINGSTON AVE, ALBANY, NY 12206-2003
(518) 366-7942
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321186
NY
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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