Green, Kelly Elisa

Green, Kelly Elisa is an individual health care provider with primary practice located at 20 Church St , White Plains NY 10601-1901. 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, Kelly Elisa can be contacted via phone (914) 421-0400.

Contact Information

Primary practice address
20 Church St White Plains NY 10601-1901
Phone: (914) 421-0400
Fax: (914) 421-0401
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1063787414
LBN Legal business name Green, Kelly Elisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Mar 19th, 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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