Organization
CORNELL SCOTT HILL HEALTH CORPORATION
Active
Other names
Cornell Scott Hill Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOL MARIA GONZALEZ (CREDENTIALING SPECIALIST)
(203) 503-3174
Entity
Organization
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
(203) 503-3224
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
68976
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004325900
—
CT
Enumeration date
12/22/2011
Last updated
04/29/2020
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