Organization
OMNI PSYCHIATRIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUZ AMELIA GREEN MD (PSYCHIATRIST)
(212) 730-7777
Entity
Organization
Contact information
Practice address
42 GRANDVIEW CIR, MANHASSET, NY 11030-1314
(516) 365-2591
(212) 730-7797
Mailing address
1430 BROADWAY RM 1608, NEW YORK, NY 10018-3363
(212) 730-7777
(212) 730-7797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
215211
NY
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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