Search › New York › 104100000X
Dusten Green, DSW,LCSW, CASAC
NPI 1053857318 · on the registry since 2017
Practice
- Address
- 11050 Mt Belvedere Blvd
Fort Drum, NY 13602 - Phone
- (315) 772-2778
- Organisation at this address
- Bobbi Petranchuk
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 108
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
1041C0700X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York