| Greene Medical Inc | |
|
100 Shoreline Hwy Bldg B Ste 100-1020 Mill Valley CA 94941 | |
| (805) 225-4740 | |
| (905) 367-8210 |
| Full Name | Greene Medical Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 100 Shoreline Hwy, Mill Valley, California |
| Authorized Official Name and Position | Aaron J. Greene (DIRECTOR/CEO) |
| Authorized Official Contact | 8052254740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene Medical Inc 100 Shoreline Hwy Bldg B Ste 100-1020 Mill Valley CA 94941 Ph: (805) 225-4740 | Greene Medical Inc 100 Shoreline Hwy Bldg B Ste 100-1020 Mill Valley CA 94941 Ph: (805) 225-4740 |
| NPI Number | 1477132496 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477132496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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