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1861014052
BRENDA GREEN
BRONX, NY
NPI
1861014052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 344282)
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
BRENDA GREEN NP
6301 RIVERDALE AVE
BRONX, NY 10471-1046
Phone number: 347-330-9102
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Mailing Address
BRENDA GREEN NP
5075 FIELDSTON RD
BRONX, NY 10471-2909
Phone number: 347-330-9102
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