Healthcare Provider Details

I. General information

NPI: 1578734638
Provider Name (Legal Business Name): YALE-NEW HAVEN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 07/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST DIVISION OF NEONATOLOGY
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

20 YORK STREET DEPARTMENT OF NEONATOLOGY
NEW HAVEN CT
06510
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-2320
  • Fax:
Mailing address:
  • Phone: 203-688-2320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number243433
License Number StateNY

VIII. Authorized Official

Name: DR. VANAJA NANDINI ALEXANDER
Title or Position: PHYSICIAN, NEONATAL FELLOW
Credential: M.D.
Phone: 203-688-2320