SUE A GREEN

WATERLOO, NY
NPI1083993661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F336853)
Enumeration Date2011-08-12
Last Update Date2011-08-12
Business Address
-- SUE A GREEN FNP
369 E MAIN ST
WATERLOO, NY 13165-1654
Phone number: 315-539-4025
Mailing Address
-- SUE A GREEN FNP
35 MASON ST SUITE 214
GENEVA, NY 14456-1133
Phone number: 315-230-5646