Mr Jonathan Green, FNP | |
51 Berkshire Pl, Allendale, NJ 07401-2005 | |
(518) 729-6155 | |
Not Available |
Full Name | Mr Jonathan Green |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 51 Berkshire Pl, Allendale, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144622382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 624738 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 339165 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Jonathan Green, FNP 51 Berkshire Pl, Allendale, NJ 07401-2005 Ph: (518) 729-6155 | Mr Jonathan Green, FNP 51 Berkshire Pl, Allendale, NJ 07401-2005 Ph: (518) 729-6155 |
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