Individual
MS. NANCY BANACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17 HILLHOUSE AVE, YALE UNIVERSITY HEALTH SERVICES, NEW HAVEN, CT 06511
(203) 432-0076
(203) 432-7289
Mailing address
17 HILLHOUSE AVE, YALE UNIVERSITY HEALTH SERVICES, NEW HAVEN, CT 06511
(203) 432-0076
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003250
CT
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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