Individual
SAMUEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1266 FOREST AVE, STATEN ISLAND, NY 10302
(718) 356-1500
Mailing address
306 PULASKI AVE APT 2, STATEN ISLAND, NY 10303-2632
(718) 356-1500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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