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MRS. CHANHOM L GREEN REGISTERED NURSE
NPI 1124799176
Registered Nurse - School in Ithaca, NY

Active since September 21, 2021
555 WARREN RD, ITHACA, NY 14850(607) 257-1555(607) 697-8220 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Chanhom L Green Registered Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CHANHOM L GREEN REGISTERED NURSE (NPI 1124799176) is an individual school provider in Ithaca, New York, licensed in New York (77531301) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1124799176
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMRS. CHANHOM L GREENCredential: REGISTERED NURSE
Location Address555 WARREN RDIthaca, NY 14850-1862
Mailing Address555 Warren RdIthaca, NY 14850-1862 · (607) 257-1555 · Fax (607) 257-1555
Phone(607) 257-1555
Fax(607) 697-8220
Sole ProprietorYes
Enumeration DateSeptember 21, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1124799176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in NY · 77531301
555 WARREN RD, Ithaca, NY 14850
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES J MEYERS
Specialist/Technologist
555 WARREN RD
ITHACA, NY 14850
Tompkins County (607) 257-2530
AUBREY CARMEN MUNSON LMSW
Social Worker
555 WARREN RD
ITHACA, NY 14850
Tompkins County (607) 257-1551
MRS. KAREN Y. BARTISHEVICH M. ED. CCC-SLP
Speech-Language Pathologist
555 WARREN RD
ITHACA, NY 14850
Tompkins County (607) 257-1555
MRS. LINDA B. GOODNOUGH M.S.,SLP
Speech-Language Pathologist
555 WARREN RD
ITHACA, NY 14850
Tompkins County (607) 257-1555
MS. KAREN ANNE BLACK OTR/L
Occupational Therapist
555 WARREN RD
ITHACA, NY 14850
Tompkins County (607) 257-1551
ROBIN LEE GAVIN
Registered Nurse
555 WARREN RD
ITHACA, NY 14850
Tompkins County (607) 257-1555
HAVEN WONG
Registered Nurse (School)
555 WARREN RD
ITHACA, NY 14850
Tompkins County (607) 257-1551
MS. REBECCA LYNN DEBELL LCSW-R
Social Worker (Clinical)
555 WARREN RD
ITHACA, NY 14850
Tompkins County (607) 257-1555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chanhom Green's NPI number?

The NPI number for Chanhom Green is 1124799176. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Where is Chanhom Green located?

Chanhom Green practices at 555 Warren Rd, Ithaca, NY 14850. The listed phone number is (607) 257-1555.

What is Chanhom Green's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Chanhom Green was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.