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Individual

MRS. JENNIFER TERESA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
7943 SEAVIEW AVE, #3, BROOKLYN, NY 11236-4130
(347) 623-1816
Mailing address
7943 SEAVIEW AVE, #3, BROOKLYN, NY 11236-4130

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421042
NY

Other

Enumeration date
08/27/2012
Last updated
08/27/2012
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