Individual
MS. MARILYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(212) 470-1410
Mailing address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(212) 470-1410
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
06/22/2022
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