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Provider Information for 1467889766

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

CAILYN FLORENCE GREEN MS, CASAC

Gender: FEMALE

Individual NPI: 1467889766

Calendar   Last Updated:  2013-10-01
  Certification Date: 

Details

Name Value
NPI 1467889766
Enumeration Date 2013-10-01
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 22 SCHUYLER RD
LOUDONVILLE, NY 12211-1458
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 55 MOHAWK ST
COHOES, NY 12047-2600
United States

Phone: 518-235-2024 | 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 101YA0400X - Counselor Addiction (Substance Use Disorder) NY 27666