Individual
ELLEN ANNE COLE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5050
(212) 305-5935
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5050
(212) 305-5935
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
717506-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431283
NY
363LG0600X
Gerontology Nurse Practitioner
431283
NY
Other
Enumeration date
07/17/2017
Last updated
11/28/2023
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