Medoff, Erin

Medoff, Erin is an individual health care provider with primary practice located at 800 Howard Ave Yale Physician'S Building - 2Nd Floor, New Haven CT 06519-1369. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Oncology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Medoff, Erin can be contacted via phone (203) 688-4191.

Contact Information

Primary practice address
800 Howard Ave Yale Physician'S Building - 2Nd Floor New Haven CT 06519-1369
Phone: (203) 688-4191
Fax: (203) 737-2617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1586 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X 001586 Connecticut

Profile Details

NPI number 1083697536
LBN Legal business name Medoff, Erin
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated May 30th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083697536 NPPES
Connecticut MEDICAID 004241361

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