| Organization Name: | JOHN J GREEN |
| NPI Number: | 1023411816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN J GREEN (PSYCHOTHERAPIST) |
| Mailing Address: | 390 Broadway Monticello |
| State: | NY US |
| Postal Code: | 127011157 |
| Phone Number: | 8457072542 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2014 |
| NPI Last Update Date: | 10/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0714321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |