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Organization

JC GREEN PHYSICAL THERAPY, PLLC

Active
Other names
Green Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
JESSE GREEN, PT, DPT, LMT, CSCS (OWNER/EMPLOYEE)
(917) 648-1949
Entity
Organization

Contact information

Practice address
4 W 101ST ST APT 65, NEW YORK, NY 10025-4716
(917) 648-1949
Mailing address
4 W 101ST ST APT 65, NEW YORK, NY 10025-4716

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/20/2023
Last updated
06/07/2023
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