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Provider Information for 1477805927

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

CARLINE GREEN

Gender: FEMALE

Individual NPI: 1477805927

Calendar   Last Updated:  2012-10-09
  Certification Date: 

Details

Name Value
NPI 1477805927
Enumeration Date 2012-10-09
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 120 ELGAR PL 32L
BRONX, NY 10475-5103
United States

Phone: 646-945-5861 | Fax:
View Map External Link
Primary Practice Address 120 ELGAR PL 32L
BRONX, NY 10475-5103
United States

Phone: 646-945-5861 | 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 163W00000X - Registered Nurse NY 608705