Individual
DIANA GRITSENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-7782
Mailing address
27223 TOWN WALK DR, HAMDEN, CT 06518-3776
(718) 502-4979
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
0014031
CT
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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