Individual
JUDITH LION CARBONELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519-1369
(203) 785-4081
(203) 737-2228
Mailing address
20 YORK ST, YNHH CHILDRENS WEST PAVILION 2ND FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000505
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004213039
—
CT
Enumeration date
12/01/2005
Last updated
06/25/2008
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