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Individual

LORI ISMAN GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
545 SAW MILL RIVER RD # 3E2, ARDSLEY, NY 10502-2157
(914) 318-5006
Mailing address
87 FOXWOOD RD, WEST NYACK, NY 10994-2521
(914) 318-5006

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013850
NY

Other

Enumeration date
12/10/2020
Last updated
12/10/2020
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