Mrs Kristina Green, MA, CCC-SLP is a
Speech-language Pathologist based in Theresa, New York. Mrs Kristina Green is licensed to practice in New York (license number 016989-1) and her current practice location is
25855 Dano Rd, Theresa, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 778-2942.
NPI number for Mrs Kristina Green is 1003199381 and her current mailing address is 25855 Dano Rd, Theresa, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003199381.
Healthcare Provider's Profile
Full Name | Mrs Kristina Green |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 25855 Dano Rd, Theresa, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003199381
- Provider Enumeration Date: 09/23/2011
- Last Update Date: 09/23/2011
Medical Identifiers
Medical identifiers for Mrs Kristina Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003199381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 016989-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristina Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kristina Green, MA, CCC-SLP 25855 Dano Rd, Theresa, NY 13691-3022 Ph: () - | Mrs Kristina Green, MA, CCC-SLP 25855 Dano Rd, Theresa, NY 13691 Ph: (315) 778-2942 |
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