Thane R Green Valid NPI
Individual provider · Marriage & Family Therapist · Syracuse, NY
- NPI
- 1194206276
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-08-27
- Last updated
- 2018-08-27
Practice location
742 James St
Syracuse, NY 13203-2017
(315) 703-2800