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Provider Information for 1598922866

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

AYODELE KAMILA GREEN M.D.

Gender: FEMALE

Individual NPI: 1598922866

Calendar   Last Updated:  2011-01-19
  Certification Date: 

Details

Name Value
NPI 1598922866
Enumeration Date 2008-05-22
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 15 E DEVONIA AVE OFFICE SUITE
MOUNT VERNON, NY 10552-1006
United States

Phone: 914-803-7021 | Fax: 888-553-1004
View Map External Link
Primary Practice Address 15 E DEVONIA AVE OFFICE SUITE
MOUNT VERNON, NY 10552-1006
United States

Phone: 914-803-7021 | Fax: 888-553-1004
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 2084P0800X - Psychiatry & Neurology Psychiatry NY 237047