Individual
MISS AUDRA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 WILLIAMSBRIDGE RD, BRONX, NY 10461-1604
(718) 948-1900
Mailing address
1 QUAKER RIDGE RD, SHERMAN, CT 06784-1228
(914) 642-5281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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