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Provider Information for 1760810147

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

ASHLEY GREEN PA-C

Gender: FEMALE

Individual NPI: 1760810147

Calendar   Last Updated:  2019-09-10
  Certification Date: 

Details

Name Value
NPI 1760810147
Enumeration Date 2013-10-23
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 222 E 34TH ST APT 2324
NEW YORK, NY 10016-9845
United States

Phone: 301-905-8777 | Fax:
View Map External Link
Primary Practice Address 525 E 68TH ST DEPARTMENT OF EMERGENCY MEDICINE
NEW YORK, NY 10065-4870
United States

Phone: 212-746-0780 | 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 363A00000X - Physician Assistant NY 017061