Individual
CARLINE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 ELGAR PL, 32L, BRONX, NY 10475-5103
(646) 945-5861
Mailing address
120 ELGAR PL, 32L, BRONX, NY 10475-5103
(646) 945-5861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
608705
NY
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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