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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JANNEL SHANICE GREEN

Active Sole Proprietor

JANNEL SHANICE GREEN is a Specialist healthcare provider located in BROOKLYN, New York. NPI 1790564094 is currently active in the NPPES registry. Verify at CMS.

Specialist · BROOKLYN, NY

Registration Details

NPI Number
1790564094
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2023 (2.8655999131497 yrs)
Last Updated
Sep 26, 2023
Licenses
1732640232 (NY)
1732639232 (NY)
Sole Proprietor
Yes

Practice Information

Address
1366 E 94TH ST
BROOKLYN, NY, 112364804
Browse NY providers · Browse ZIP 11236
Phone
9174858110
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist

Other Specialist Providers in BROOKLYN, NY

Name Credential NPI
DR. CARLOS ARANGO M.D. 1861497141
DR. PRASAD R. GUDAVALLI MD 1497750046
JAY ELLIOT WEISSBLUTH M.D. 1659376119
DR. CARMEN LLOPIZ-VALLE MD 1245236470
DR. ALEX CHEN MD 1255337283
DR. EUGENE ELLIS MD 1194721142
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.