Healthcare Provider Details

I. General information

NPI: 1043139017
Provider Name (Legal Business Name): YALE NEW HAVEN HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 WHITE PLAINS RD
TRUMBULL CT
06611-4552
US

IV. Provider business mailing address

37 FIFTH ST
NORWALK CT
06855-2402
US

V. Phone/Fax

Practice location:
  • Phone: 203-268-2882
  • Fax:
Mailing address:
  • Phone: 781-454-6773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DANA FORLANO
Title or Position: APP CLINICAL MANAGER
Credential: MSN, APRN, FNP-BC
Phone: 203-688-4612