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Provider Information for 1033567771

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

ANISHA GREEN MSED

Gender: FEMALE

Individual NPI: 1033567771

Calendar   Last Updated:  2016-06-02
  Certification Date: 

Details

Name Value
NPI 1033567771
Enumeration Date 2016-06-02
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 7000 AUSTIN ST SUITE 200
FOREST HILLS, NY 11375-1022
United States

Phone: 718-762-7633 | Fax:
View Map External Link
Primary Practice Address 7000 AUSTIN ST SUITE 200
FOREST HILLS, NY 11375-1022
United States

Phone: 718-762-7633 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 174400000X - Specialist NY 319173800