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NPI Code Detail

MEDICARE: ELIZABETH A PITKA

MEDICARE: ELIZABETH A PITKA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1649443284
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A PITKA
Provider Business Mailing Address
First Line : 62 GRANT ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-2514
Country : US
Telephone Number : 203-503-3350
Fax Number : 203-503-3370
Provider Business Practice Location Address
First Line : 62 GRANT ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-2514
Country : US
Telephone Number : 203-503-3350
Fax Number : 203-503-3370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2008
Last Update Date : 04/03/2008

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Directions to “ ELIZABETH A PITKA ” Practice Location

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