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Contact Information

RANDY W GREEN, PhD
7 VALDEMAR RD
HOPEWELL JUNCTION, NY12533-6127
 Phone: 845-226-2356
 Fax: 845-227-9540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RANDY W GREEN · (Male)

NPI # 1881836120
Status Active
Credentials PhD
Entity Individual
Enumeration date 04/01/2009
Last updated 04/01/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 005967
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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