Nicole Green, LMT

NPI #1114390630 in Amherst, New York

Provider Information

NPI Number: 1114390630
Entity Type: Individual
Name: Nicole Green, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Nov 5, 2015
Last Updated: Nov 5, 2015

Practice Location

Address: 2360 SWEET HOME RD
Address 2: SUITE 7 & 8
City: Amherst
State: New York
ZIP Code: 14228-2329
Phone: (716) 564-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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