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Provider Information for 1407208010

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

AMINA GREEN LPN

Gender: FEMALE

Individual NPI: 1407208010

Calendar   Last Updated:  2016-07-07
  Certification Date: 

Details

Name Value
NPI 1407208010
Enumeration Date 2016-07-07
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 796 LIVINGSTON AVE
ALBANY, NY 12206-2003
United States

Phone: 518-366-7942 | Fax:
View Map External Link
Primary Practice Address 796 LIVINGSTON AVE
ALBANY, NY 12206-2003
United States

Phone: 518-366-7942 | 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 321186