Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 49216 | CT |
Y | 111NI0900X | Internist | 49216 | CT |
N | 207RG0300X | Geriatric Medicine | 003185 | NY |
N | 207RG0300X | Geriatric Medicine | 49216 | CT |
N | 207RH0002X | Hospice and Palliative Medicine | 003185 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 49216 | CT |
NPI | 1295994721 |
---|---|
Provider Name | Dr. Ann Celeste Mapas-Dimaya |
First Address | Hamden, CT 06517-1209 |
Second Address | Hamden, CT 06517-1209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 15/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004235900 | (05) | CT |