Individual
MS. ANDREA N GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8268 164TH ST, QUEENS CANCER CENTER, JAMAICA, NY 11432-1121
(718) 883-3000
Mailing address
16902 144TH AVE, JAMAICA, NY 11434-5904
(718) 977-1766
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304985-1
NY
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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