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Contact Information

GREENLIGHT HEALTH
11 W PROSPECT AVE # 35
MOUNT VERNON, NY10550-2017
 Phone: 914-494-5629
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

163WC0400X
 

Community Health

163WC1500X
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
 

General Practice

163WG0000X
 

Nutrition Support

163WN1003X
Indicates primary specialty

NPI Profile & details for GREENLIGHT HEALTH

NPI Number 1740705458
LBN Legal business name GREENLIGHT HEALTH
Authorized official JEANNELLE ERNEST-HILL - (FOUNDER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2017
Last updated 08/03/2017 - About 9 years ago
Identifiers
NY License # 342021
NY License # 608167
NY License # 678305
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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