Individual
HETAL SUSHIL KOCINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, YALE NEW HAVEN CHILDREN'S HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 785-4081
(203) 785-3833
Mailing address
PO BOX 9805, 300 GEORGE STREET 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
043106
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00143106Y
—
CT
Enumeration date
12/05/2005
Last updated
08/04/2008
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