MRS. Christine V. Green

NPI #1144579152 in Massapequa Park, New York

Provider Information

NPI Number: 1144579152
Entity Type: Individual
Name: MRS. Christine V. Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 5, 2012
Last Updated: Sep 5, 2012

Practice Location

Address: 160 PINE ST
City: Massapequa Park
State: New York
ZIP Code: 11762-1759
Phone: (516) 804-5979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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