Green-Davis, Venessa

Green-Davis, Venessa is an individual health care provider with primary practice located at 34 Chatsworth Avenue Chatsworth Avenue School, Larchmont NY 10538. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Green-Davis, Venessa can be contacted via phone (914) 220-3509.

Contact Information

Primary practice address
34 Chatsworth Avenue Chatsworth Avenue School Larchmont NY 10538
Phone: (914) 220-3509
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 1326195637 New York

Profile Details

NPI number 1740565134
LBN Legal business name Green-Davis, Venessa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2011
Last updated Oct 17th, 2012 - about 14 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 1740565134 NPPES
New York MEDICAID 01395326

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