Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 050937 | CT |
NPI | 1134389190 |
---|---|
Provider Name | Dr. Alina Tsyrulnik |
First Address | New Haven, CT 06519-1361 |
Second Address | New Haven, CT 06510-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 29/06/2012 |