Individual provider · Type 1 NPI

Shauna Carole Green

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1245470780 Active

Practice location

122 E 23rd St
New York, NY 10010-4516

Call (212) 979-9700 Map

Mailing address

13415 134th Ave
South Ozone Park, NY 11420-3516

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X291907091 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000X291907091 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245470780

Shauna Carole Green's National Provider Identifier is 1245470780, issued on Feb 24, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Feb 24, 2009.