Green, Samuel Ellis

Green, Samuel Ellis is an individual health care provider with primary practice located at 9027 Sutphin Blvd , Jamaica NY 11435-3647. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Green, Samuel Ellis can be contacted via phone (718) 526-8400.

Contact Information

Primary practice address
9027 Sutphin Blvd Jamaica NY 11435-3647
Phone: (718) 526-8400
Fax: (718) 297-8658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 003591 New York

Profile Details

NPI number 1255735247
LBN Legal business name Green, Samuel Ellis
Credentials M.A., L.M.H.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2014
Last updated Oct 20th, 2014 - about 12 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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