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Provider Information for 1194239632

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

ASHARIE GREEN

Gender: FEMALE

Individual NPI: 1194239632

Calendar   Last Updated:  2018-09-05
  Certification Date: 

Details

Name Value
NPI 1194239632
Enumeration Date 2017-11-20
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 630 FLUSHING AVE
BROOKLYN, NY 11206-5026
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 630 FLUSHING AVE
BROOKLYN, NY 11206
United States

Phone: 718-387-7888 | Fax:
View Map External Link
Secondary Practice Address 41 UNDERHILL RD
MIDDLETOWN, NY 10940-9442
United States

Phone: 845-642-6542 | 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 164W00000X - Licensed Practical Nurse NY 292155