Yale Podiatry Group

LBN: Ansonia Podiatry Associates, Llc
Yale Podiatry Group is an health care organization with primary practice located at 364 E Main St , Ansonia CT 06401-1904. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Ansonia Podiatry Associates, Llc can be contacted via phone (203) 734-4806, or through Travisano, Michael S via phone (203) 734-4806.

Contact Information

Primary practice address
364 E Main St Ansonia CT 06401-1904
Phone: (203) 734-4806
Fax: (203) 734-8265
Website:
Map and Directions
Authorized official contact:
Name: Travisano, Michael S Doctor of Podiatric Medicine (DPM)
Phone: (203) 734-4806

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000678 Connecticut
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 000678 Connecticut

Profile Details

NPI number 1689841520
LBN Legal business name Ansonia Podiatry Associates, Llc
DBA Doing business as Yale Podiatry Group
Authorized official Travisano, Michael S Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2008
Last updated Jan 9th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689841520 NPPES
Connecticut MEDICAID 004020517

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