Basic Information
| Provider Information | |||||||||
| NPI: | 1578734638 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | YALE-NEW HAVEN HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 YORK STREET | ||||||||
| Address2: | DEPARTMENT OF NEONATOLOGY | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036882320 | ||||||||
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| Practice Location | |||||||||
| Address1: | 20 YORK ST | ||||||||
| Address2: | DIVISION OF NEONATOLOGY | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065103220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036882320 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2008 | ||||||||
| LastUpdateDate: | 07/17/2009 | ||||||||
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| AuthorizedOfficialLastName: | ALEXANDER | ||||||||
| AuthorizedOfficialFirstName: | VANAJA | ||||||||
| AuthorizedOfficialMiddleName: | NANDINI | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN, NEONATAL FELLOW | ||||||||
| AuthorizedOfficialTelephone: | 2036882320 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | 243433 | NY | Y | Hospitals | General Acute Care Hospital | Children |
No ID Information.