National Provider Identifier

Virginia H Green

Virginia H Green is listed in the NPPES registry with a primary specialty of Peer Specialist in Jamestown, NY and a listed phone number of (716) 294-1155.

NPI 1598402893Jamestown, NYPeer Specialist

Profile Overview

NPI
1598402893
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
May 18, 2022
Last Updated
May 18, 2022

Practice Location

  • 310 W 3Rd St
  • Jamestown, NY 14701-4910

Phone: (716) 294-1155

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1598402893
Entity Type
Individual
Last Name
Green
First Name
Virginia
Middle Name
H
Mailing Street Address
310 W 3Rd St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-4910
Mailing Country
US
Practice Street Address
310 W 3Rd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-4910
Practice Country
US
Practice Phone
(716) 294-1155
Enumeration Date
May 18, 2022
Last Updated
May 18, 2022
Sex
Female
Sole Proprietor
No
Certification Date
May 18, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)