NPI 1497104822 · live from the CMS NPI Registry
Anna S Eisenstein
Dermatology in New Haven, CT. National Provider Identifier 1497104822, active.
NPI record
| NPI | 1497104822 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 15 York Street, Lmp 5040, New Haven, CT 06510 |
| Practice phone | 203-785-4632 |
| Enumerated | June 7, 2016 |
| Last updated | July 1, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 267424 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dermatology primary | 207N00000X | 66236 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.