Green, Tatiana

Green, Tatiana is an individual health care provider with primary practice located at 6336 99Th St , Rego Park NY 11374-1979. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Green, Tatiana can be contacted via phone (718) 459-2558.

Contact Information

Primary practice address
6336 99Th St Rego Park NY 11374-1979
Phone: (718) 459-2558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29750 New York

Profile Details

NPI number 1942980966
LBN Legal business name Green, Tatiana
Credentials CASAC-2
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2023
Last updated Jul 24th, 2023 - about 2 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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