Mcgillicuddy, Tina Katsarikas
Mcgillicuddy, Tina Katsarikas is an individual health care provider with primary practice located at 400 Columbus Ave , New Haven CT 06519-1233. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mcgillicuddy, Tina Katsarikas can be contacted via phone (203) 503-3250.Contact Information
Primary practice address
400 Columbus Ave
New Haven CT 06519-1233
Phone: (203) 503-3250
Fax: (203) 503-3254
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 151957 | Tennessee |
Nursing Service Providers / Registered Nurse | 163W00000X | 079084 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 003531 | Connecticut |
Profile Details
NPI number | 1467585414 |
---|---|
LBN Legal business name | Mcgillicuddy, Tina Katsarikas |
Credentials | APRN NURSE PRACTITIO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 13th, 2007 |
Last updated | Dec 12th, 2011 - about 13 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 | 1467585414 | NPPES |
Connecticut | MEDICAID | 004235900 |
Popular Providers
-
Savino, Donna M
789 Howard Ave Fitkin 3 - Suite 300, New Haven CT 06519-1304 -
Demsky, Carolyn Joan
20 York St Ynhh (Children'S) West Pavilion 2Nd Floor, New Haven CT 06510-3220 -
Urban, Andrea Dann
2 Church St S Suite 404, New Haven CT 06519-1717 -
Lemley, Mary K
374 Grand Ave Fair Haven Community Health Center, New Haven CT 06513 -
Santacroce, Sheila Christine
20 York St Ynhh - West Pavilion, 2Nd Floor, New Haven CT 06510-3220 -
Guandalini, Cindy Frances
2 Church St S Suite 405, New Haven CT 06519-1717 -
Doyle, Elizabeth Ann
789 Howard Ave , New Haven CT 06519-1304 -
Sikes, Kristin Adams
2 Church St S Suite 404, New Haven CT 06519-1717