Individual provider · Type 1 NPI

Benito Green

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

NPI number 1447779350 Active

Practice location

140-15B Stanford
Flushing, NY 11355

Call (718) 358-8288 Map

Fax (718) 358-5265

Mailing address

8114 Queens Blvd
Elmhurst, NY 11373-3789

Other practice locations

  • 81-14 Queens Blvd, Elmhusrt, NY 11373 · (718) 889-9810

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1447779350

Benito Green's National Provider Identifier is 1447779350, issued on Sep 12, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flushing, NY. The record was last updated on Jul 21, 2022.