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Provider Information for 1518198605

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

ASHLEE LYN GREEN LPN

Gender: FEMALE

Individual NPI: 1518198605

Calendar   Last Updated:  2009-08-06
  Certification Date: 

Details

Name Value
NPI 1518198605
Enumeration Date 2009-08-06
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address PO BOX 122
WHITE SULPHUR SPRINGS, NY 12787-0122
United States

Phone: 845-292-3432 | Fax:
View Map External Link
Primary Practice Address 72 MIDWAY RD
LIVINGSTON MANOR, NY 12758
United States

Phone: 845-292-3432 | 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 272730