Most Relevant Information
Provider Data
| NPI Number: | 1003206343 |
| Provider Name: | SELINA GREENE L.AC. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 25 005517 |
Most Important Dates
| Enumeration Date: | 01/26/2015 |
| Last Updated: | 01/26/2015 |
Provider Practice Location
5000 BROADWAY APT 6A
NEW YORK
NY
100341660
Practice Location Phone/Fax
| Phone: | 3476782293 |
| Fax: |
Provider Mailing Location
5000 BROADWAY APT 6A
NEW YORK
NY
100341660
Provider Mailing Phone/Fax
| Phone: | 3476782293 |
| Fax: |