Individual
MRS. MINDY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
5 MEADOW LN, MONSEY, NY 10952-3610
(845) 352-6557
Mailing address
5 MEADOW LN, MONSEY, NY 10952-3610
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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