National Provider Identifier
Matthew Green
Matthew Green is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Olean, NY and a listed phone number of (716) 373-8040.
Profile Overview
- NPI
- 1225573884
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 05, 2017
- Last Updated
- January 05, 2017
Practice Location
- 1 Leo Moss Dr
- Suite 4308
- Olean, NY 14760-1156
Phone: (716) 373-8040
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1225573884
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Matthew
- Mailing Street Address
- 1 Leo Moss Dr
- Mailing Address Line 2
- Suite 4308
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1156
- Mailing Country
- US
- Mailing Phone
- (716) 373-8040
- Mailing Fax
- (716) 701-3728
- Practice Street Address
- 1 Leo Moss Dr
- Practice Address Line 2
- Suite 4308
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1156
- Practice Country
- US
- Practice Phone
- (716) 373-8040
- Practice Fax
- (716) 701-3728
- Enumeration Date
- January 05, 2017
- Last Updated
- January 05, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 00635098 (NY)