Individual provider · Type 1 NPI

Latasha Green

Addiction (Substance Use Disorder) Registered Nurse · Bronx, NY

NPI number 1730456088 Active

Practice location

1510 Waters Pl
Bronx, NY 10461-2700

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X6088481 (NY)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1730456088

Latasha Green's National Provider Identifier is 1730456088, issued on Nov 30, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Bronx, NY. The record was last updated on Nov 30, 2011.