Individual
SUSAN RONNIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., ABPP-CN
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-3336
Mailing address
321 E 48TH ST, SUITE 1E, NEW YORK, NY 10017-1749
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
009694
NY
Other
Enumeration date
05/26/2006
Last updated
07/20/2007
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