Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessic Miriam Greene, CTRS

Individual provider Recreation Therapist · NPI 1710541008

Jessic Miriam Greene, CTRS is a Recreation Therapist in Amityville, New York. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

400 Sunrise Hwy
Amityville, NY 11701-2508
Phone: (631) 608-5547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 57786

Record details

NPI number1710541008
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESApril 23, 2019

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