MR. ELLIOT GREEN REGISTERED NURSE NPI 1659886562

NPI Information

NPI: 1659886562
Provider Name: MR. ELLIOT GREEN, REGISTERED NURSE
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY
ZIP 11693
Phone: (718) 634-3461
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MR. Elliot Green, REGISTERED NURSE is a psychiatric/mental health registered nurse in Rockaway Beach, NY. MR. Elliot Green, REGISTERED NURSE NPI is 1659886562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY
ZIP 11693-609
Phone: (718) 634-3461

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	608511-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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