MR. Robert Green
NPI #1134697360 in Central Islip, New York
Provider Information
- NPI Number
- 1134697360
- Entity Type
- Individual
- Name
- MR. Robert Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Nov 6, 2018
- Last Updated
- Dec 3, 2018
Practice Location
- Address
- 9 CEDAR ST
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-4103
- Phone
- (631) 553-7131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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