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GINEESHA A ABRAHAM APRN
Oncology >> Clinical Nurse Specialist >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1396041539
Individual Registrant: GINEESHA A ABRAHAM APRN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
20 YORK ST SMILOW CANCER HOSPITAL, BREAST CENTRE NEW HAVEN, CT 06510-3220 US
Tel: 203-200-2328 Fax: --
Tel: 203-200-2328 Fax: --
Contact information for business:
121 WARREN AVE FAIRFIELD, CT 06825-5427 US
Tel: 203-659-7393 Fax: --
Tel: 203-659-7393 Fax: --
Registration Information:
NPI: 1396041539
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 364SX0200X | Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Oncology | CT | 4596 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
