Organization
APT FOUNDATION, INC
Active
Organization
APT FOUNDATION, INC
Active
Other names
Primary Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M MADDEN MPA (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(203) 781-4600
Entity
Organization
Contact information
Practice address
495 CONGRESS AVE, NEW HAVEN, CT 06519-1312
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0366
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001218107
SCHOTTENFELD MEDICAID
CT
01
—
001302497
MEDICAID SHI
CT
01
—
001423136
MEDICAID TETRAULT
CT
01
—
008003745
MEDICAID EMILY APRN
CT
01
—
008053091
MEDICAID BUTNER
CT
01
—
008058058
SADINSKY MEDICAID
CT
01
—
008066293
MARDAM BEY MEDICAID
CT
01
—
008066315
COLON RIVERA MEDICAID
CT
01
—
008066801
HAQUE MEDICAID
CT
01
—
008066948
LOUIE MEDICAID
CT
01
—
008068420
SCHEFILITI MEDICAID
CT
01
—
008069118
CAMPBELL MEDICAID #
CT
Enumeration date
07/29/2014
Last updated
01/13/2017
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