Tishkoff, Neil W

Tishkoff, Neil W is an individual health care provider with primary practice located at 333 Cedar St Ste Te2 , New Haven CT 06510-3206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Tishkoff, Neil W can be contacted via phone (203) 785-3067.

Contact Information

Primary practice address
333 Cedar St Ste Te2 New Haven CT 06510-3206
Fax: (203) 200-5170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 37744 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 037744 Connecticut

Profile Details

NPI number 1780676023
LBN Legal business name Tishkoff, Neil W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated May 25th, 2022 - about 2 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 1780676023 NPPES
Connecticut MEDICAID 001377440

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