SHELLIE A GREEN

WATERTOWN, NY
NPI1124636113
Former NameSHELLIE A COUNTRYMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F346037-1)
Enumeration Date2020-07-16
Last Update Date2020-07-17
Business Address
SHELLIE A GREEN
160 STONE ST
WATERTOWN, NY 13601-3250
Phone number: 585-371-8373
Mailing Address
SHELLIE A GREEN
2697 MAIN ST
BUFFALO, NY 14214-1701
Phone number: 585-371-8373
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