Green, Kristen M

Green, Kristen M is an sole proprietor health care provider with primary practice located at 102 Marble River Rd , Chateaugay NY 12920-3600. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Green, Kristen M can be contacted via phone (518) 353-6120.

Contact Information

Primary practice address
102 Marble River Rd Chateaugay NY 12920-3600
Phone: (518) 353-6120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 007860-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 007860-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005277 New York

Profile Details

NPI number 1093891145
LBN Legal business name Green, Kristen M
Credentials PA, RPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Apr 23rd, 2021 - about 4 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.

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