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TREE OF LIFE PRIMARY CARE AND RECOVERY LLC NPI 1437659091


NPI Information

NPI: 1437659091
Provider Name: TREE OF LIFE PRIMARY CARE AND RECOVERY LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
129 CHURCH ST STE 417
NEW HAVEN, CT
ZIP 06510
Phone: (646) 785-7452
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TREE OF LIFE PRIMARY CARE AND RECOVERY LLC is a community health clinic center in New Haven, CT. TREE OF LIFE PRIMARY CARE AND RECOVERY LLC NPI is 1437659091. The provider is registered as an organization entity type.

The provider's business location address is:

129 CHURCH ST STE 417
NEW HAVEN, CT
ZIP 06510-052
Phone: (646) 785-7452

The provider's authorized official is Ronica Mukerjee .
The authorized official title is Clinical Director and has the following contact phone number (646) 785-7452.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 2/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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