Provider Demographics
NPI:1164871349
Name:GREEN KEY RESOURCES
Entity Type:Organization
Organization Name:GREEN KEY RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBOSZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-584-6445
Mailing Address - Street 1:8 LANGSCHUR CT
Mailing Address - Street 2:
Mailing Address - City:THIELLS
Mailing Address - State:NY
Mailing Address - Zip Code:10984-1319
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:475 PARK AVE S
Practice Address - Street 2:FLOOR 7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6902
Practice Address - Country:US
Practice Address - Phone:212-584-6445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008521283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital