Carbonella, Judith Lion
Carbonella, Judith Lion is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Building, New Haven CT 06519-1369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Carbonella, Judith Lion can be contacted via phone (203) 785-4081.Contact Information
Primary practice address
800 Howard Ave Yale Physicians Building
New Haven CT 06519-1369
Phone: (203) 785-4081
Fax: (203) 737-2228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 000505 | Connecticut |
Profile Details
| NPI number | 1063496214 |
|---|---|
| LBN Legal business name | Carbonella, Judith Lion |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jun 25th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063496214 | NPPES |
| Connecticut | MEDICAID | 004213039 |
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