Ileana Green, MD | |
5 Perryridge Rd, Pathology Dept., Greenwich, CT 06830 | |
(203) 863-3061 | |
(203) 863-3846 |
Full Name | Ileana Green |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 34 Years |
Location | 5 Perryridge Rd, Greenwich, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942272828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | 203054 (New York) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | 52497 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lenox Hill Hospital | New york, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Medical Pc | 3375701568 | 5120 |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Ileana Green, MD 99 East River Dr., 5th Floor, East Hartford, CT 06108-7301 Ph: (860) 282-4133 | Ileana Green, MD 5 Perryridge Rd, Pathology Dept., Greenwich, CT 06830 Ph: (203) 863-3061 |
Eric J Diamond, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 5 Perryridge Rd, Pathology Department, Greenwich, CT 06830 Phone: 203-863-3061 Fax: 203-863-3846 | |
Stephen R Gray, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5 Perryridge Rd, Pathology Department, Greenwich, CT 06830 Phone: 203-863-3061 Fax: 203-863-3846 | |
Dr. Tamara Handerson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5 Perryridge Rd, Department Of Pathology, Greenwich, CT 06830 Phone: 203-863-3927 | |
Dr. Fanni Ratzon, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5 Perryridge Rd, Greenwich, CT 06830 Phone: 203-785-7037 | |
Vicki L Altmeyer, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 5 Perryridge Rd, Pathology Department, Greenwich, CT 06830 Phone: 203-863-3061 Fax: 203-863-3846 |