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General NPI Number Information
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NPI Number | 1033406772
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Entity Type | Individual
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Provider Name | ANN GREEN N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 462 7TH AVE FL 6
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City | NEW YORK
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State | NY
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Zip | 10018-7439
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Country | US
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Telephone | 917-334-3682
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Fax | 917-525-2133
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Provider Business Mailing Address
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Address Line | 1156 N BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-1108
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Country | US
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Telephone | 914-965-3700
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Fax | 914-965-3883
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 40401395
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License Number State | NY
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