Individual provider · Type 1 NPI
Christine V. Green
Specialist · Massapequa Park, NY
NPI number
1144579152
Active
Practice location
160 Pine St
Massapequa Park, NY 11762-1759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 493399111 (NY) |
| Specialist | 174400000X | 564041111 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1144579152
Christine V. Green's National Provider Identifier is 1144579152, issued on Sep 5, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa Park, NY. The record was last updated on Sep 5, 2012.