Basic Information
| Provider Information | |||||||||
| NPI: | 1104175488 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | YALE NEW HAVEN HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 PARK ST | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065048901 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 PARK ST | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065048901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037852701 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2012 | ||||||||
| LastUpdateDate: | 09/03/2012 | ||||||||
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| AuthorizedOfficialLastName: | MANCHISI | ||||||||
| AuthorizedOfficialFirstName: | ALEFTERIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADVANCED NURSE PRACTITIONER | ||||||||
| AuthorizedOfficialTelephone: | 2033315588 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | CT | Y | Hospitals | General Acute Care Hospital | Children |
No ID Information.