Individual
DANILO BEEN CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 CONGRESS AVE, NEW HAVEN, CT 06519
(203) 781-4600
(203) 781-4751
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
2084P0800X
Psychiatry Physician
Primary
60342
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004082260
—
CT
05
—
008001325
—
CT
05
—
008022622
—
CT
05
—
008056033
—
CT
05
—
008079805
—
CT
Enumeration date
08/12/2014
Last updated
05/08/2019
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