SAMUEL ELLIS GREEN

JAMAICA, NY
NPI1255735247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  003591)
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
Mr. SAMUEL ELLIS GREEN M.A., L.M.H.C.
9027 SUTPHIN BLVD
JAMAICA, NY 11435-3647
Phone number: 718-526-8400
Mailing Address
Mr. SAMUEL ELLIS GREEN M.A., L.M.H.C.
9027 SUTPHIN BLVD
JAMAICA, NY 11435-3647
Phone number: 718-526-8400