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Provider Information for 1679075204

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

DR. ALAN GREEN PHD

Gender: MALE

Individual NPI: 1679075204

Calendar   Last Updated:  2018-02-28
  Certification Date: 

Details

Name Value
NPI 1679075204
Enumeration Date 2018-02-28
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 43 MAIN ST
DOBBS FERRY, NY 10522-2105
United States

Phone: 914-217-6349 | Fax:
View Map External Link
Primary Practice Address 43 MAIN ST
DOBBS FERRY, NY 10522-2105
United States

Phone: 914-217-6349 | 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 103TC0700X - Psychologist Clinical NY 04700