Individual
MR. JORGE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1157 MORRIS AVE, 3D, BRONX, NY 10456
(718) 590-5748
Mailing address
1157 MORRIS AVE APT 3D, BRONX, NY 10456-4737
(718) 590-5748
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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