Most Relevant Information
Provider Data
| NPI Number: | 1003496878 |
| Provider Name: | KRISTA MARIE GREEN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 112137 |
Most Important Dates
| Enumeration Date: | 04/14/2021 |
| Last Updated: | 04/14/2021 |
Provider Practice Location
3095 29TH ST APT 3F
ASTORIA
NY
111022729
Practice Location Phone/Fax
| Phone: | 3158677474 |
| Fax: |
Provider Mailing Location
3095 29TH ST APT 3F
ASTORIA
NY
111022729
Provider Mailing Phone/Fax
| Phone: | 3158677474 |
| Fax: |