Basic Information
| Provider Information | |||||||||
| NPI: | 1013924182 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | YALE-NEW HAVEN HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 220 PARK TERRACE AVE | ||||||||
| Address2: | |||||||||
| City: | WEST HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065165245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2039321932 | ||||||||
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| Practice Location | |||||||||
| Address1: | 20 YORK STREET | ||||||||
| Address2: | NEWBORN SPECIAL CARE UNIT -YALE NEW HAVEN HOSPITAL | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036882318 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SABO | ||||||||
| AuthorizedOfficialFirstName: | BARBARA | ||||||||
| AuthorizedOfficialMiddleName: | EILEEN | ||||||||
| AuthorizedOfficialTitleorPosition: | APRN | ||||||||
| AuthorizedOfficialTelephone: | 2036882318 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | APRN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | 001648 | CT | Y | Hospitals | General Acute Care Hospital | Children |
No ID Information.