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Katasha Green

Case Manager/Care Coordinator in Staten Island, NY. Individual provider (NPI-1).

NPI number1114385168
StatusActive
Last updated in NPPESFeb 5, 2016

Details

NPI
1114385168
Entity type
Individual (NPI-1)
Name
Katasha Green
Sex
Female
Sole proprietor
No
Enumeration date
Feb 5, 2016
Last updated
Feb 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

253 Father Capodanno Blvd
Staten Island, NY 10305-4202

Phone 347-707-8110

Mailing address

253 Father Capodanno Blvd
Staten Island, NY 10305-4202

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