Individual
JEFFREY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ATC
Contact information
Practice address
6934 WILLIAMS RD, SUITE 600, NIAGARA FALLS, NY 14304-3080
(716) 298-5903
Mailing address
6934 WILLIAMS RD, SUITE 600, NIAGARA FALLS, NY 14304-3080
(716) 298-5903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67 001583
NY
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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