Tanya Renita Green, PA

NPI #1245279405 in Harris, New York

Provider Information

NPI Number: 1245279405
Entity Type: Individual
Name: Tanya Renita Green, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 5, 2006
Last Updated: Mar 25, 2025

Practice Location

Address: 68 HARRIS RD
City: Harris
State: New York
ZIP Code: 12742-5030
Phone: (845) 794-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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