Green, Gwendolen A

Green, Gwendolen A is an sole proprietor health care provider with primary practice located at 100 Memorial Park Dr , Spring Valley NY 10977-5129. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Green, Gwendolen A can be contacted via phone (845) 426-6733.

Contact Information

Primary practice address
100 Memorial Park Dr Spring Valley NY 10977-5129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 253900-1 New York

Profile Details

NPI number 1134448616
LBN Legal business name Green, Gwendolen A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2010
Last updated May 24th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers