MEDICARE: EMILY KATHLEEN STORCH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0006X	Clinical Pathology Physician	267340	NY

General Provider Information

NPI Number	:	1568637916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY KATHLEEN STORCH M.D.

Provider Business Mailing Address
First Line	:	20 YORK STREET, T-209
Second Line	:	YALE-NEW HAVEN HOSPITAL
City	:	NEW HAVEN
State	:	CT
Zip	:	06510-3220
Country	:	US
Telephone Number	:	203-688-2259
Fax Number	:	203-688-5599

Provider Business Practice Location Address
First Line	:	20 YORK STREET, T-209
Second Line	:	YALE-NEW HAVEN HOSPITAL
City	:	NEW HAVEN
State	:	CT
Zip	:	06510-3220
Country	:	US
Telephone Number	:	203-688-2259
Fax Number	:	203-688-5599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	06/04/2025

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