Individual
GEORGE R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
311 W 35TH ST FL 2, NEW YORK, NY 10001-1701
(212) 736-5900
Mailing address
311 W 35TH ST FL 2, NEW YORK, NY 10001-1701
(212) 736-5900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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