Individual
KELLEY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(860) 898-0122
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
070575
NY
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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