| John J Green | |
|
390 Broadway Monticello NY 12701-1157 | |
| (845) 707-2542 | |
| Not Available |
| Full Name | John J Green |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 390 Broadway, Monticello, New York |
| Authorized Official Name and Position | John J Green (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8457072542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Green 98 Dwyer Ave Liberty NY 12754-1506 Ph: (845) 707-2542 | John J Green 390 Broadway Monticello NY 12701-1157 Ph: (845) 707-2542 |
| NPI Number | 1023411816 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023411816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0714321 (New York) | Primary |
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