Distasio, Michael

Distasio, Michael is an individual health care provider with primary practice located at Yale New Haven Health 789 Howard Avenue, New Haven CT 06460. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Distasio, Michael can be contacted via phone (203) 430-6379.

Contact Information

Primary practice address
Yale New Haven Health 789 Howard Avenue New Haven CT 06460
Phone: (203) 430-6379
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 154019 Connecticut

Profile Details

NPI number 1194580795
LBN Legal business name Distasio, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2024
Last updated Feb 14th, 2024 - about last year

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.

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