Individual provider · Type 1 NPI

Nicole Green, MSED

Specialist · Mamaroneck, NY

NPI number 1477408904 Active

Practice location

875 Mamaroneck Ave
Mamaroneck, NY 10543-1900

Call (914) 337-3026 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X607837051 (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 1477408904

Nicole Green, MSED's National Provider Identifier is 1477408904, issued on Mar 2, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mamaroneck, NY. The record was last updated on Mar 2, 2026.