Individual provider · Type 1 NPI
Diane Green
Family Nurse Practitioner · New York, NY
NPI number
1174900419
Active
Practice location
9131 Queens Bvld
New York, NY 11373-9997
Fax (718) 697-6167
Mailing address
91 31 Queens Blvd
Elmhurst, NY 11373-9997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F35236701 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174900419
Diane Green's National Provider Identifier is 1174900419, issued on May 6, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Aug 2, 2023.