Green, Marie

Green, Marie is an individual health care provider with primary practice located at 9 4Th Ave , Bay Shore NY 11706-7908. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Green, Marie can be contacted via phone (631) 968-9102.

Contact Information

Primary practice address
9 4Th Ave Bay Shore NY 11706-7908
Phone: (631) 968-9102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 286583-1 New York

Profile Details

NPI number 1164601837
LBN Legal business name Green, Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Oct 30th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164601837 NPPES
New York Other 286583-1 LICENSE

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