Search › Pennsylvania › 1041C0700X
Ethan Green
NPI 1982572939 · on the registry since 2025 · sole proprietor
Practice
- Address
- 338 Golf Club Rd
Roaring Brook Twp, PA 18436 - Phone
- (845) 270-1797
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-29
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 Pennsylvania