Individual
ALINE CENOZ-DONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400-428 COLUMBUS AVENUE, APC, NEW HAVEND, CT 06519-1233
(203) 503-3075
(203) 503-3296
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
65000
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008094693
—
CT
Enumeration date
04/18/2016
Last updated
07/14/2020
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