| Doctor Name: | DR. KAREN M GREEN |
| NPI Number: | 1184933947 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 013227 |
| Business Practice Address: | 38 Stewart Ave. Stewart Manor, NY - 11530 |
| Business Phone Number: | 5163265530 |
| Business Fax Number: | 5163260548 |
| Mailing Address: | 38 Stewart Ave, Stewart Manor School STEWART MANOR |
| State: | NY |
| Postal Code: | 11530 |
| Phone Number: | 5163265530 |
| Fax Number: | 5163260548 |
| NPI Enumeration Date: | 09/28/2010 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 013227 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |