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Provider Information for 1174892368

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

BETTY L GREEN RN

Gender: FEMALE

Individual NPI: 1174892368

Calendar   Last Updated:  2011-12-19
  Certification Date: 

Details

Name Value
NPI 1174892368
Enumeration Date 2011-12-19
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 156 PINE TREE RD
MONROE, NY 10950-3964
United States

Phone: 845-460-6900 | Fax: 845-460-6039
View Map External Link
Primary Practice Address 278 ROUTE 32
CENTRAL VALLEY, NY 10917-3226
United States

Phone: 845-460-6200 | 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 163WS0200X - Registered Nurse School NY 402846-1