Individual
CANDICE A R GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 SUMMERS PLACE, FREEPORT, NY 11520
(516) 425-6279
Mailing address
12 SUMMERS PL, FREEPORT, NY 11520-2529
(516) 425-6279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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