IVAN GREENE

BRONX, NY
NPI1316323090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-08-05
Last Update Date2015-08-05
Business Address
-- IVAN GREENE
1776 CLAY AVE
BRONX, NY 10457
Phone number: 718-960-7503
Mailing Address
-- IVAN GREENE
1776 CLAY AVE
BRONX, NY 10457
Phone number: 718-960-7503
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