Individual
MS. DEBORAH ANNE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 608-5343
Mailing address
16 WILLIAM ST, BABYLON, NY 11702-2308
(631) 321-7705
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000731-1
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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