Provider Demographics
NPI:1700177706
Name:YALE-NEW HAVEN HOSPITAL
Entity Type:Organization
Organization Name:YALE-NEW HAVEN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KOMLI-KOFI
Authorized Official - Middle Name:
Authorized Official - Last Name:ATSINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:203-809-2448
Mailing Address - Street 1:542 GEORGE ST
Mailing Address - Street 2:APT 1
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5302
Mailing Address - Country:US
Mailing Address - Phone:203-809-2448
Mailing Address - Fax:
Practice Address - Street 1:542 GEORGE ST
Practice Address - Street 2:APT 1
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5302
Practice Address - Country:US
Practice Address - Phone:203-809-2448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access