Individual
ELLIOT GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7649 HEWLETT ST, NEW HYDE PARK, NY 11040-1429
(212) 388-1903
Mailing address
402A DOUGLASS ST, BROOKLYN, NY 11217-3105
(718) 791-9890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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