Madoff, David Craig
Madoff, David Craig is an individual health care provider with primary practice located at 20 York Street Yale-New Haven Hospital, New Haven CT 06520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Madoff, David Craig can be contacted via phone (203) 688-1010.Contact Information
Primary practice address
20 York Street Yale-New Haven Hospital
New Haven CT 06520
Phone: (203) 688-1010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | L1121 | Texas |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 211258 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 63593 | Connecticut |
Profile Details
| NPI number | 1659462323 |
|---|---|
| LBN Legal business name | Madoff, David Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 12th, 2019 - about 5 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 | 1659462323 | NPPES |
| New York | MEDICAID | 03296366 | |
| New York | MEDICAID | 144853201 |
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