Individual
MS. BEVERLY VERONICA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
3 SUMMIT CT, FISHKILL, NY 12524-1334
(845) 896-1500
Mailing address
3 SUMMIT CT, FISHKILL, NY 12524-1334
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004699-1
NY
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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