Individual
CHANA MALKA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
22 EDISON CT APT B, MONSEY, NY 10952-1921
(845) 356-5131
Mailing address
22 EDISON CT APT B, MONSEY, NY 10952-1921
(845) 356-5131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021608-1
NY
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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