Active NPIIndividual provider

Ileana Green, MD

Pathology, Anatomic Pathology in Greenwich, Connecticut

NPI Number1942272828
Practice location
5 Perryridge RD, Pathology Dept., Greenwich, CT 06830
Fax
203-863-3846
Last updated
June 30, 2014

Ileana Green is a Pathology, Anatomic Pathology based in Greenwich, CT. Ileana Green practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Ileana Green is 1942272828 and holds a License No. 203054 (NY). The current practice location address for Ileana Green is 5 Perryridge RD, Pathology Dept., Greenwich, CT 06830 and can be reached out via phone at 203-863-3061 and via fax at 203-863-3846.

Provider Profile Details

NPI Number
1942272828
Provider Name
Ileana Green
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5 Perryridge RD, Pathology Dept., Greenwich, CT 06830
Phone Number
203-863-3061
Fax Number
203-863-3846
Primary Taxonomy
Pathology, Anatomic Pathology · 207ZP0101X
Sole Proprietor
No
Provider Enumeration Date
February 3, 2006
Last Update Date
June 30, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Perryridge RD
Pathology Dept.
Greenwich, CT 06830
Zip
06830
Phone Number
203-863-3061
Fax Number
203-863-3846
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
99 East River Dr.
5TH Floor
East Hartford, CT 06108-7301
City
East Hartford
State
CT
Zip
06108-7301
Phone Number
860-282-4133
Fax Number
860-282-0170

License Information

License Number (1)
203054
License State (1)
NY
Taxonomy (1)
Pathology, Anatomic Pathology · 207ZP0101X
License Number (2)
52497
License State (2)
CT
Taxonomy (2)
Pathology, Anatomic Pathology · 207ZP0101X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ileana Green, MD?

The NPI number of Ileana Green, MD is 1942272828. It was assigned on February 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Ileana Green, MD?

Ileana Green, MD is registered under the primary taxonomy Pathology, Anatomic Pathology (code 207ZP0101X), licensed in NY under license number 203054.

Where does Ileana Green, MD practice?

The practice location is 5 Perryridge RD, Pathology Dept., Greenwich, CT 06830. The office can be reached at 203-863-3061 (phone) or 203-863-3846 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942272828 directly on the NPPES registry website.

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