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:
Health care specialties
| Specialty | Code | License # | 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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