National Provider Identifier Database

GREENLIGHT HEALTH
Case Management


Contact Information

GREENLIGHT HEALTH
11 W PROSPECT AVE # 35
MOUNT VERNON, NY10550-2017
Phone: 914-494-5629
Fax:
Website:
Specialty Taxonomy Code
* Case Management 163WC0400X
Community Health 163WC1500X
Community Health 363LC1500X
Diabetes Educator 163WD0400X
General Practice 163WG0000X
Nutrition Support 163WN1003X

* Indicates primary specialty

NPI Profile & details for GREENLIGHT HEALTH

NPI Number 1740705458
Legal business name
LBN
GREENLIGHT HEALTH
Authorized official JEANNELLE ERNEST-HILL - (FOUNDER/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/03/2017
Last updated 08/03/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 342021
  • NY License #: 608167
  • NY License #: 678305

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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