Organization
GREEN NP IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MONGE O'CONNELL NP (OWNER)
(845) 579-3435
Entity
Organization
Contact information
Practice address
1 BUSHWICK RD STE C, POUGHKEEPSIE, NY 12603-3839
(845) 579-3435
(845) 243-2100
Mailing address
1 BUSHWICK RD STE C, POUGHKEEPSIE, NY 12603-3839
(845) 579-3435
(845) 243-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07468940
—
NY
Enumeration date
06/29/2022
Last updated
04/18/2025
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