Individual
TIFFANY DENEPITIYA-BALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 688-2259
Mailing address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
052375
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2008
Last updated
01/29/2014
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