Skip Navigation

Provider Information for 1396196648

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

MRS. BETHANY WESTON GREEN

Other Name:   BETHANY WESTON
Gender: FEMALE

Individual NPI: 1396196648

Calendar   Last Updated:  2016-12-10
  Certification Date: 

Details

Name Value
NPI 1396196648
Enumeration Date 2016-06-28
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 301 CUMBERLAND ST APT F5
BROOKLYN, NY 11238-1045
United States

Phone: 919-605-5083 | Fax:
View Map External Link
Primary Practice Address 150 E 42ND ST
NEW YORK, NY 10017-5612
United States

Phone: 212-661-8139 | 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 363LF0000X - Nurse Practitioner Family NY 340729