Mark David Simoniello in New Haven - Clinical
Mark David Simoniello - NPI 1215091921
Mark David Simoniello is a Clinical in New Haven, Connecticut. Mark David Simoniello practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark David Simoniello is 1215091921. The last update date is 2007-07-08.
Mark David Simoniello's current location address is 34 Park St, New Haven, Connecticut. You can contact this provider via phone number 2039747417 and fax number 2039747413. The mailing address for Mark David Simoniello is 34 Park St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Simoniello |
|---|---|
| Address | 34 Park St, New Haven, Connecticut |
| Phone Number | 2039747417 |
| Fax Number | 2039747413 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1215091921 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 34 Park St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 6519 |
| Phone Number | 2039747417 |
| Fax Number | 2039747413 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3247 |
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What is the unique 10-digit identification code assigned to Mark David Simoniello by the Centers for Medicare & Medicaid Services?
The Mark David Simoniello has been issued the NPI (National Provider Identifier) 1215091921, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark David Simoniello?
The Mark David Simoniello is physically situated at 34 Park St, in the city of New Haven, state of CT, with the postal code 6519.
What is Mark David Simoniello's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark David Simoniello is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Mark David Simoniello receive its 1215091921 assignment from the Centers for Medicare & Medicaid Services?
The Mark David Simoniello was assigned its 1215091921 by the Centers for Medicare & Medicaid Services on 2006-12-20.
As of what date were the Mark David Simoniello's details last updated?
The information pertaining to the Mark David Simoniello, including its address, specialty, and other details, was most recently updated on 2007-07-08.