Individual
MS. KATE HALLISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5520 PARK AVENUE, PEDIATRIC HEMATOLOGY AND ONCOLOGY, TRUMBULL, CT 06611-3463
(203) 785-4640
(203) 737-2228
Mailing address
1 PARK ST, PEDIATRIC HEMATOLOGY/ONCOLOGY, NEW HAVEN, CT 06504-8901
(203) 785-4640
(203) 737-2228
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9461
CT
363LP0200X
Pediatric Nurse Practitioner
F382554
NY
Other
Enumeration date
08/19/2015
Last updated
08/03/2021
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