Individual
ASHLEE LYN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
72 MIDWAY RD, LIVINGSTON MANOR, NY 12758
(845) 292-3432
Mailing address
PO BOX 122, WHITE SULPHUR SPRINGS, NY 12787-0122
(845) 292-3432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272730
NY
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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