Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 6325 | CT |
NPI | 1013387067 |
---|---|
Provider Name | Mr. Christopher John Andreozzi |
First Address | New Haven, CT 06511-4972 |
Second Address | New Haven, CT 06519-1625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2015 |
Last Update Date | 03/10/2015 |