JESSE GREEN, PT, DPT, LMT, CSCS

MAIDEN LANE MEDICAL PLLC

Dr JESSE GREEN, PT, DPT, LMT, CSCS is a female medical professional, specializing in Physical Therapy. She graduated in 2016 from New York University School Of Medicine.

Contact

MAIDEN LANE MEDICAL PLLC

90 MAIDEN LN
FL 3
NEW YORK
NY
100384831

Tel: 6462909560

JESSE GREEN, PT, DPT, LMT, CSCS Information

Npi 1447791397
Pac Id 7113262320
Professional Enrollment Id I20181217001293
Last Name GREEN, PT, DPT, LMT, CSCS
First Name JESSE
Middle Name
Suffix
Gender F
Credential
Medical School Name NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2016
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MAIDEN LANE MEDICAL PLLC
Group Practice Pac Id 2365728698
Number Of Group Practice Members 22
Line 1 Street Address 90 MAIDEN LN
Line 2 Street Address FL 3
Marker Of Address Line 2 Suppression
City NEW YORK
State NY
Zip Code 100384831
Phone Number 6462909560
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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