Individual
ZISL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 GERRY ST APT 3L, BROOKLYN, NY 11206-4339
(347) 461-0468
Mailing address
125 GERRY ST APT 3L, BROOKLYN, NY 11206-4339
(347) 461-0468
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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