Doctor Name: | MS. DAWN GREEN |
NPI Number: | 1013081769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | 009056 |
Business Practice Address: | 150 55th St Lmc Rehabilitation Services Brooklyn, NY - 112202559 |
Business Phone Number: | 7186307942 |
Business Fax Number: | 7186307251 |
Mailing Address: | 5800 3rd Ave, Managed Care Department BROOKLYN |
State: | NY |
Postal Code: | 112203702 |
Phone Number: | 7186307477 |
Fax Number: | 7186307437 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 009056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |