Green, Latasha

Green, Latasha is an individual health care provider with primary practice located at 1510 Waters Pl , Bronx NY 10461-2700. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Green, Latasha can be contacted via phone (718) 409-9433.

Contact Information

Primary practice address
1510 Waters Pl Bronx NY 10461-2700
Phone: (718) 409-9433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 6088481 New York

Profile Details

NPI number 1730456088
LBN Legal business name Green, Latasha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2011
Last updated Nov 30th, 2011 - about 13 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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