Skip Navigation

Provider Information for 1033406772

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MS. ANN GREEN R.N.

Gender: FEMALE

Individual NPI: 1033406772

Calendar   Last Updated:  2011-11-04
  Certification Date: 

Details

Name Value
NPI 1033406772
Enumeration Date 2011-07-01
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1156 N BROADWAY
YONKERS, NY 10701-1108
United States

Phone: 914-965-3700 | Fax: 914-965-3883
View Map External Link
Primary Practice Address 19 GREENRIDGE AVE
WHITE PLAINS, NY 10605-1201
United States

Phone: 914-949-7680 | Fax: 914-949-3525
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other AGENCY MEDICARE # NY WVE061
Other AGENCY NPI NUMBER NY 1285628552
Other AGENCY MEDICAID # NY 00355940
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LP0808X - Nurse Practitioner Psych/Mental Health NY 40401395