OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1710064001 ABADI JACOBO 1400 PELHAM PKWY S SUITE 207 BRONX NY 10461-1138 718-924-2329 1063572014 ABASTILLAS ANNA LIZA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-518-8800 1639207350 ABDEL-WAHAB NANCY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1134526981 ABDELMALAK BECHOY 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1699776179 ABDELMALEK MOHEB 530 NEW BRUNSWICK AVE PERTH AMBOY NJ 08861-3654 800-645-3055 1679593057 ABELARDO VILMAR 601 E. ROLLINS STREET ORLANDO FL 32803-1248 623-241-8350 1427309947 ABRAHAM BINCY 100 WOODS ROAD VALHALLA NY 10595-1108 914-493-7632 1356824742 ABRAHAM MANJU 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-604-8555 1235114026 ABRAMSON DAVID 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1932636172 ABU-ALREESH SARAH 20 YORK STREET YNHH PEDS/GASTROENTEROLOGY NEW HAVEN CT 06510-3220 203-785-4633 1639166531 ACEVEDOSEGUI MIGUEL 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1437567260 ACHARYA YAM 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1659547271 ACIDERA ANNA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1386656148 ACOSTA ROBERT 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1821338393 ACOSTA WILLIAM 300 GEORGE ST SUITE 901 NEW HAVEN CT 06511-6662 203-785-2095 1487687844 ADDEPALLI RAJASEKHAR 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1194354928 ADEMI SHQIPE 1438 PARK AVENUE BRIDGEPORT CT 06604-1000 203-929-1954 1447205836 ADEYEMI BABATUNDE 82-68 164TH STREET 140 JAMAICA NY 11432-1121 718-924-2329 1225480031 ADIBA AFIFA 230 S FRONTAGE ROAD YSOM NEW HAVEN CT 06519-1124 203-737-7129 1649667106 ADIGUN AYODOLA YALE CHID STUDY CENTER 230 SOUTH FRONTAGE ROAD NEW HAVEN CT 06519-1124 203-737-7129 UMASS MEMORIAL MEDICAL 1972848463 ADLER CHRISTOPHER 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1508894676 ADLER MARY 701 ENFIELD STREET ENFIELD MEDICAL ASSOC ENFIELD CT 06082-2961 860-741-6572 1750690392 AFONSO DIANA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-606-3000 1417210394 AFONSO TANIA 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1497937486 AGAG RICHARD 30 SHELBURN RD STAMFORD CT 06902-9314 203-276-7058 1871908137 AGARWAL SANKET 1901 FIRST AVENUE SUITE 207 NEW YORK NY 10029-7404 718-924-2329 1447326871 AGGARWAL AMITA 322 MAIN ST PORTLAND CT 06480-1512 860-342-3303 1104840032 AGWU KALU 506 LENOX AVE KOUNTZ PAVILLION, ROOM 633 NEW YORK NY 10037-1889 212-939-3501 1114007135 AGYARE SAMUEL 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1518058957 AHAD MOHAMMAD 234 EAST 149TH STREET ROOM 8D-200 BRONX NY 10451-5504 718-579-5006 1407240559 AHMED AADIL 20 YORK STREET DEPT OF PATHOLOGY NEW HAVEN CT 06510-3220 203-688-9503 1679950984 AHMED JAFREEN 263 FARMINGTON AVENUE MC 1410 FARMINGTON CT 06030-1410 929-444-5230 1982157400 AHMED MAHMOUD 25 WELLS STREET WESTERLY HOSPITAL WESTERLY RI 02891-2922 954-377-3110 1568872224 AHMED NAZIR 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1942557129 AHMED RAIDOUR 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1467771303 AJAYI OLUSEGUN 451 CLARKSON AVE BROOKLYN NY 11203-2054 718-924-2329 1629080841 AJIT SARBJOT 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1558467266 AJJAGOTTU VIJAYA 555 WILLARD AVE NEWINGTON CT 06111-2631 860-666-6951 1578952354 AKHAVAN ARVIN 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1881081016 AKKARY WISSAM 451 CLARKSON AVE BROOKLYN NY 11203-2054 718-924-2329 1629402003 AKRAM HASSAN 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1497252845 AKUO ALPHONSE 2215 BURDETT AVENUE TROY NY 12180-2466 800-645-3055 1568462760 AKUS JAN WILLIAM W BACKUS HOSPITAL 326 WASHINGTON STREET NORWICH CT 06360-2740 860-889-8331 1619014107 AL HUSAYNI HUSAYN 234 E149TH STREET BRONX NY 10451-5504 718-924-2329
HUSKY Health Connecticut Page 1 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1770998775 AL JAMMALY RIYADH 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6664 203-785-2095 1689756017 AL-SALEM SALIM 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2323 1407268428 ALABI ADEYEMI 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1376703322 ALBANESE KRISTA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 845-216-0320 1255693651 ALBANESE NATALIE 67 BURNSIDE AVENUE EAST HARTFORD CT 06108-3408 313-509-8683 1720467772 ALBASSAM AHMED 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1366514812 ALBERT DAVID 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1336581347 ALBUJA PONCE ANA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6195 1780767517 ALEXANDER LARRY 40100 HIGHWAY 27 DAVENPORT FL 33837-5906 800-645-3055 1558467027 ALEXIADES MICHAEL 535 EAST 70TH STREET NEW YORK NY 10021-4823 646-797-8471 1619472586 ALFANO PETER 95 SARGENT STREET BELCHERTOWN MA 01007-9881 413-323-7212 1891851648 ALGON SIBEL 1011 VETERANS MEMORIAL PARKWAY RIVERSIDE RI 02915-5061 401-432-1000 YALE MULTIPLE SCLEROSIS 1912361031 ALHASAN SALEH 6 DEVINE STREET NORTH HAVEN CT 06473-4027 203-287-6100 CENTER 1699253591 ALHUSAINI SAUD 20 YORK STREET YNHH NEUROLOGY NEW HAVEN CT 06510-3220 203-688-9503 1558894816 ALI HANA 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1932134285 ALI RAYSHMA 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1083034987 ALKER ASHELY 101 HOSPITAL CENTER BLVD. STAFFORD VA 22554-6200 800-645-3055 1003934282 ALLEN CHRISTOPHER 95 HARBOR RD SUITE 955 SOUTHPORT CT 06890-3306 203-838-1678 1629068440 ALLEN ROBIN 555 WILLARD AVE NEWINGTON CT 06111-2631 866-808-7921 1497870273 ALLIGER JASON 1389 WEST MAIN ST SUITE 208 WATERBURY CT 06708-3115 203-757-1287 1811048689 ALLISS SAMIR 1110 GULF BREEZE PKWY GULF BREEZE FL 32561-4884 888-715-1000 1457820243 ALMASSI ARIEA 2 MEDICAL CENTER DRIVE SPRINGFIELD MA 01107-1270 413-794-5600 1477058881 ALMASUDE EDEN 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1790977650 ALMHANNA KHALDOUN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5435 1073792305 ALONSO FRANCISCO 82-68 164TH STREET 140 JAMAICA NY 11432-1121 718-924-2329 1902985344 ALONSO NOEL 201 EAST SAMPLE ROAD POMPANO BEACH FL 33064-3502 623-580-6309 1235182544 ALPERT RUSSELL 319 LAFAYETTE ST. #151 NEW YORK NY 10012-2711 302-810-1584 1558701540 ALSAMMAN MOHD AMER 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1578815957 ALSAMMAN OMAR 100 MCGREGOR STREET MANCHESTER NH 03102-3730 603-314-4771 1679537450 ALTEMUS MARGARET 950 CAMPBELL AVE BUILDING 2, ROOM 7-165 WEST HAVEN CT 06516-2770 646-209-6277 1346391034 ALTERMAN DANIEL 1400 PELHAM PKWY S SUITE 207 BRONX NY 10461-1138 631-675-9301 1336201300 ALTORELLI ALPHONSE 125 NEW MILFORD TURNPIKE NEW PRESTON CT 06777-1703 860-868-7318 1295781854 ALVAREZ ANNE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6195 1528132255 ALVAREZ DORA 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 UMASS MEMORIAL MEDICAL 1417499906 ALVES CAITLIN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-441-6767 GROUP 1326039702 AMADOR ELIAS 10101 FORREST HILL WELLINGTON FL 33414-6103 561-798-8500 1164682613 AMANTI CRISTOPHER 1 BOSTON MEDICAL CENTER BCD 1ST FLOOR BOSTON MA 02118-2908 978-777-9998 1952322802 AMANULLAH SIRAJ 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1851601611 AMARAL KERRI 593 EDDY STREET PROVIDENCE RI 02903-4923 401-793-9167 1386933216 AMAZAN-RODNEY GERLY 400 CAPITAL BLVD MC DIAGNOSTIC OF CT PC ROCKY HILL CT 06067-3576 415-547-5151 1942363189 AMBLE PAUL SILVER STREET MIDDLETOWN CT 06457-7023 860-262-5000 1194996595 AMEER XAVIER 506 LENOX AVENUE BRONX NY 10451-1889 718-924-2323 1467435586 AMER SARWAT 234 E149TH STREET BRONX NY 10451-5504 718-924-2329
HUSKY Health Connecticut Page 2 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1225156763 AMIN AZIZ 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1538322250 AMINI RICHARD 2800 E. AJO WAY TUCSON AZ 85713-6204 801-256-1900 1316032295 AMMERMAN DONALD 84 HOSPITAL AVENUE DANBURY CT 06810-6047 203-792-0400 1477067239 AMOS PA_C MADISON 761 MAIN AVE SUITE 102 NORWALK CT 06851-0500 860-282-4128 1619325503 ANAND RAVI 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1174751101 ANDERSON ASHLEIGH 5300 KIDSPEACE DRIVE OREFIELD PA 18069-2044 610-799-8130 1710364302 ANDERSON KOREEM 234 E149TH STREET 140 BRONX NY 10451-5504 718-924-2329 1639513948 ANDERSON SANDRA 67 SANDPIT RD. STE. 308 DANBURY CT 06810-4032 203-743-7264 1801101662 ANDRADES JOANNE 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1407388614 ANDREAS SHAHEEN 282 WASHINGTON ST HARTFORD CT 06106-3322 860-837-5431 1417094491 ANDREJKO MARCI 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 164-622-7376 UMASS MEMORIAL MEDICAL 1285252064 ANDRESEN MIA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1235509670 ANDY TERYN 131 NEW LONDON TURNPIKE GLASTONBURY CT 06033-2246 860-798-8158 1962791103 ANEST TRISHA 2 BERNARDINE DRIVE NEWPORT NEWS VA 23602-4404 419-226-4343 1235246307 ANGEL LUIS 530 1ST AVE, HCC 12 NEW YORK NY 10016-6402 516-663-3018 1598899437 ANGLE NATHAN 888 SOUTH KING STREET HONOLULU HI 96813-3097 800-645-3055 1265855167 ANGLIN TAMIKA 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1841660917 ANGRAND PAULA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 203-675-2449 1275513442 ANIS NADEEM 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1861430332 ANKER ANTHONY 1001 SAM PERRY BLVD FREDERICKSBURG VA 22401-4453 800-645-3055 1144590191 ANNULLI RICHARD 1037 VALLEY RD NEW CANAAN CT 06840-2818 203-594-1947 1811354897 APHOLT MARY 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2752 1265732051 APOSTOLIDOU EIRINI 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-444-5891 1710178835 ARAM SEPIDEH 55 LOCK ST NEW HAVEN CT 06511-3603 203-432-0290 1164634408 ARAMPULIKAN JOSEPH 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1811916257 ARCIERO THOMAS 1127 W MAIN STREET WATERBURY CT 06708-2765 203-754-2225 1316114390 ARIYAN CHARLOTTE 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1376924738 ARJUN DOLLY 50 FOSTER STREET WORCESTER MA 01608-1305 508-334-6173 1588739874 ARMELLINO NICHOLAS 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860-7101 800-645-3055 1174866263 ARONOVICH DANIEL 6401 NORTH FEDERAL HWY FORT LAUDERDALE FL 33308-1427 480-977-3271 1427319235 ARREDONDO AARON 462 FIRST AVENUE SUITE 207 NEW YORK NY 10016-9196 718-924-2329 1528408671 ARSLAN ALBERT 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1639596752 ARTIME CLAUDIA 701 ENFIELD STREET ENFIELD CT 06082-2961 860-741-6572 1992867618 ARVIZU OLIVERA JOSE 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1497163190 ARYAL BISHOW 725 NORTH STREET PITTSFIELD MA 01201-4109 413-881-5427 1194767681 ASAAD GHAZI 72 NORTH STREET DANBURY CT 06810-5648 203-748-1200 UMASS MEMORIAL MEDICAL 1205087608 ASARE JOHN 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-8515 GROUP 1225519077 ASEMNOR AFUA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-796-7545 1699399154 ASHBURN FRAZIER 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-8020 1467553248 ASHRAF MAHBOOB 285 SHAKER ROAD ENFIELD ENFIELD CT 06082-1800 860-253-8000 1467971044 ASSELIN EMILY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1972030922 ASSOBMO LOIC 2150 MAIN STREET SPRINGFIELD MA 01104-3566 860-741-6572 1740265727 ATHANASIAN EDWARD 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764
HUSKY Health Connecticut Page 3 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1326283532 ATHOURISTE OLPHABINE 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1306887856 ATTAR JESSICA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1538663430 ATTAR RYAN 1817 BLACK ROCK TURNPIKE SUITE 205 FAIRFIELD CT 06825-3546 203-717-1339 1538391842 ATTMORE SUSAN 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 615-372-0078 1285629162 ATWELL FRANTZ 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1851722797 AUGUSTINE ANNIE 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-528-2565 1447580840 AUTH TARA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 203-376-6616 1073683033 AWAD AIDA 1901 FIRST AVENUE 140 NEW YORK NY 10029-7404 718-924-2329 1598747602 AXTMAYER ALFREDO 85 BARNES RD. #302 WALLINGFORD CT 06492-1832 203-215-7687 1992236822 AYANKOLA OLUSOLA 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1376795427 AYIKWEI SAMUEL 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1013975945 AYRES ROGER 177 POST ROAD WEST SUITE #5 WESTPORT CT 06880-4652 203-341-0706 1922282987 AZUBUIKE FIONA 4300 ALTON ROAD MIAM BEACH FL 33140-2948 305-636-7912 1861463895 AZZOLI CHRISTOPHER 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-1000 1376067884 BABB MACKENZIE 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-5370 1063509768 BABU RAMESH 2601 OCEAN PARKWAY BROOKLYN NY 11235-7745 718-924-2329 1790009702 BACHIREDDY ANITHA 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1174595847 BACKMAN KENNETH 55 WALLS DRIVE STE. 405 FAIRFIELD CT 06824-5163 203-259-7070 1417332990 BADH SUMEET 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1376030403 BAER CHADD 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-5161 1154473361 BAGCHI CHAITALI 506 LENOX AVE KOUNTZ PAVILLION, RM 633 NEW YORK NY 10037-1889 212-939-3501 1427587328 BAHR ANASTASIA 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1003256587 BAIG MUHAMMAD 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1184645301 BAIK RANIA 602 ROUTE 169 WOODSTOCK CT 06281-1835 860-821-3406 1134125834 BAIN LAURIE 357 HARTFORD TURNPIKE VERNON CT 06066-4800 860-871-9441 1780785105 BAINBRIDGE RONALD 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1932184934 BAINS MANJIT 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1558611434 BAJRAKTARI LINA 601 E ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1891337770 BAKER MATTHEW 3300 MAIN STREET 3RD FL, SUITE C&D SPRINGFIELD MA 01107-1112 413-794-5600 1407828296 BAKER WILLIAM ONE BOSTON MEDICAL CENTER PL. BOSTON MA 02118-2908 617-414-5481 1750862611 BALAKRISHNAN SARA 1952 WHITNEY AVE 2ND FLOOR HAMDEN CT 06517-1209 203-538-5682 1790917805 BALASURIYA LILANTHI 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1184727752 BALLA ROBERT 928 FARMINGTON AVENUE WEST HARTFORD CT 06107-1929 860-233-2322 1265599583 BALTER ANDREW 234 CHURCH STREET SUITE 1201 NEW HAVEN CT 06510-1881 203-787-5938 1134145170 BALZARETT JOSEPH 8206 LEESBURG PIKE #207 VIENNA VA 22182-2612 703-893-8585 1124102355 BAMJI MAHRUKH 1901 FIRST AVENUE SUITE 207 NEW YORK NY 10029-7404 718-924-2329 1316320534 BANDA DEVON 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-4763 1114085461 BANDANZA ROSINA ALBERT J.SOLNIT CHILDREN''S CT 915 RIVER ROAD MIDDLETOWN CT 06457-2658 860-704-4115 1871709147 BANDOW MD GRACE 761 MAIN AVE SUITE 102 NORWALK CT 06851-0500 860-282-4128 1740320266 BANIUKIEWICZ ANDREA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1912218918 BANKI ALI 2928 MAIN ST SUITE 200 GLASTONBURY CT 06033-2135 860-659-2779 1184193294 BANKS JOSEPH 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1003054966 BAQAI AISHA 500 WESTCHESTER AVENUE WEST HARRISON NY 10604-3200 646-227-3764 1730298902 BAQUERO MARCO 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1952659039 BARAHONA FERNANDO 1435 BEDFORD STREET SUITE 1N STAMFORD CT 06905-5225 203-424-7995 HUSKY Health Connecticut Page 4 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1669769550 BARASZ JONAH 546 S BROAD ST SUITE 2D MERIDEN CT 06450-1034 203-630-1312 1144309493 BARB BRIAN 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-7191 1215154117 BARBERIE MICHAEL 4 BERKSHIRE BLVD BETHEL CT 06801-1001 203-826-3142 1780990499 BARENBOIM ARKADY 2601 OCEAN PARKWAY 140 BRONX NY 11235-7745 718-924-2329 1497726426 BARKER JULIET 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1154731040 BARLOW RYAN 401 15TH AVE SE PUYALLUP WA 98372-3715 702-473-8900 1851446843 BAROWSKY JEREMY 500 WEST PUTNAM AVENUE SUITE 400 GREENWICH CT 06830-6000 203-340-1115 1255369799 BARR ALAN 555 NEWFIELD AVENUE STAMFORD CT 06905-3330 203-324-9800 1225341530 BARR STEPHEN 729 SE MAIN ST SIMPSONVILLE SC 29681-3218 888-851-7590 1487897716 BARRETT LAUREL 1 GENERAL STREET LAWRENCE MA 01841-2961 978-683-4000 1871792606 BARRIO ANDREA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1457707333 BARRON DANIEL 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 UMASS MEMORIAL MEDICAL 1497035208 BARRY KAYSE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1891728846 BARSOTTI CHRISTOPHER 725 NORTH STREET PITTSFIELD MA 01201-4016 413-447-2726 1124382445 BARTH PETER 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5435 1841609393 BARTLETT-PALMER AMY 228 PARK AVE S SUITE 15314 NEW YORK NY 10003-1502 240-457-2332 1417021577 BARTOLONE CYNTHIA 2150 BLACK ROCK TPKE FAIRFIELD CT 06825-3239 203-333-2060 1558462366 BARTON JANET 75 SEMINARYHILL RD. CARMEL NY 10512-1921 845-225-3400 1619950581 BARUCH JAY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1659391969 BASCARA BAYANI 2601 OCEAN PARKWAY BROOKLYN NY 11235-7745 718-924-2329 1366462574 BASNETT ROBIN 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1386699296 BASTA KIMBERLY 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 585-259-2312 1235127754 BASTIAENS LEO 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1255650834 BASTOS-MARRERO JORGE 1600 SOUTH ANDREWS AVENUE FORT LAUDERDALE FL 33316-2510 480-977-7321 1588875603 BASU ELLEN 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1134351927 BATES JENNIFER BLYTHEDALE CHILDREN''S HOSPITA 95 BRADHURST AVE VALHALLA NY 10595-1637 914-831-2498 1245808120 BATES JILLIAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1851416739 BAUER FRANK 114 WOODLAND STREET PATHOLOGY DEPARTMENT HARTFORD CT 06105-1299 860-714-4678 1922539964 BAWANY SHEILA 601 E ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1073834321 BAXI NAMISH 535 EAST 70TH STREET NEW YORK NY 10021-4823 212-774-7598 1568551927 BAZOS ANDREW 2 RIVERVIEW DR. DANBURY CT 06810-6268 203-702-6680 1720217789 BEACH ANDREW 593 EDDY STREET PROVIDENCE RI 02905-4513 401-793-4102 1437129624 BEAUBOEUF ANDRE 600 ST JOHNSBURY ROAD LITTLETON NH 03561-3442 603-444-9271 1255745501 BEAUBRUN ANNELIESE 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1447212816 BEAUDOIN DONALD 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1992920086 BEAUDOIN FRANCESCA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6125 1477838324 BECK ALICIA 455 BOSTON POST ROAD OLD SAYBROOK CT 06475-1505 860-388-9799 1265448203 BECK RICHARD 58 DIVISION ST DANBURY CT 06810-7753 203-743-4834 1932177425 BECKA-FITZPATRICK MARIA 636 DEL PRADO BLVD CAPE CORAL FL 33990-2692 800-645-3055 1386906923 BEDI DANIEL 4929 VAN NUYS BLVD SHERMAN OAKS CA 91403-1702 800-645-3055 1962781492 BEELER KATHARINE 325 9TH AVE SEATTLE WA 98104-2420 206-744-9888 1043277783 BEERS SIDNEY 401 15TH AVENUE SE PUYALLUP WA 98372-3715 702-473-8900 1336185768 BEHRENDS ROBERT 60 WESTWOOD AVENUE SUITE 210 WATERBURY CT 06708-2460 203-597-0633 1558768945 BELBASE SANTOSH 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500
HUSKY Health Connecticut Page 5 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1770965345 BELISLE RACHEL 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1407807852 BELLIZZI JOHN 29 LEWIS STREET GREAT BARRINGTON MA 01230-1713 413-881-5427 1063945665 BENDER RICCI 300 GEORGE YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1043496763 BENETATOS AGATHAE 2601 OCEAN PARKWAY BROOKLYN NY 11235-7745 718-924-2329 1487946372 BENITEZ ERIK 701 MAIN STREET CONCENTRA MEDICAL CENTER EAST HARTFORD CT 06108-3126 860-291-5561 1578573218 BENITEZ JAIME 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1205816634 BENNETT MARY 100 CENTURY DRIVE WORCESTER MA 01606-1244 508-334-6173 1912394503 BENTON LAURA 1400 PELHAM PKWY S 140 BRONX NY 10461-1138 718-924-2329 1942596630 BERBERI NISIDA 8714 5TH AVE BROOKLYN NY 11209-5204 516-663-2818 1487211363 BERGAMINI AMANDA 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1770996563 BERGER ELISABETH 725 NORTH STREET PITTSFIELD MA 01201-4019 413-881-5427 1558529875 BERGLUND KRISTINA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1134445760 BERGMAN MICHAEL STAMFORD HOSPITAL 1 HOSPITAL PLAZA STAMFORD CT 06902-3602 203-276-6156 1245625300 BERK JUSTIN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1104110030 BERKOWITZ LAUREEN 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1437276987 BERKSON ALAN 431 NEW HAVEN AVE MILFORD CT 06460-3615 203-877-5106 1164860896 BERKSON SARAH 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1265409726 BERLAND ROBERT 100 WELLS ST SUITE 1B HARTFORD CT 06103-2920 860-278-8937 1275503898 BERMAN RONALD 40100 HIGHWAY 27 DAVENPORT FL 33837-5906 800-645-3055 1316380231 BERNARDO SEBASTIAN 462 FIRST AVENUE SUITE 207 NEW YORK NY 10016-9196 718-924-2329 1538149463 BERNBACH MARC 171 GRANDVIEW AVENUE SUITE 104 WATERBURY CT 06708-2524 203-753-2048 1063711596 BERNIER CAROL 1 HEALTH CIRCLE LEXINGTON VA 24450-2448 800-645-3055 1548299282 BERNSTEIN DAVID 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-4699 1457395980 BERNSTEIN SHELLY 450 BROOKLINE AVENUE LW204 DANA FARBER CANCER INSTITUTE BOSTON MA 02215-5418 617-632-5917 1508935024 BERTUCH ELIZABETH 1236 MAIN ST SUITE 202A HOLYOKE MA 01040-2955 413-532-6777 1306831391 BERV DOUGLAS 60 WASHINGTON AVENUE SUITE 102 HAMDEN CT 06518-3203 203-407-6444 1649531179 BEUCHER MEGHAN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1194945634 BEVERIDGE PHYLLIS 915 RIVER ROAD MIDDLETOWN CT 06457-3921 860-704-4097 1982866596 BEYER CHRISTINA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1093151326 BHAKTA HIREN 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1720348170 BHARATIA NIKITA 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1750819850 BHATIA ANUM 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1578781316 BHATT REENA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-444-7334 1023461621 BHATTARAI SHREEYUKTA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1730231705 BIANCHI CHRISTOPHER 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-334-8152 UMASS MEMORIAL MEDICAL 1720642812 BIANCHI-WILBERDING BRITTANY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1326371261 BIELAWSKI MARK 555 WILLARD AVENUE VETERANS ADMINISTRATION NEWINGTON CT 06111-4272 866-808-7921 1275626889 BIERLY JOHN 625 HOPMEADOW STREET SIMSBURY CT 06070-2449 860-658-5552 1972688851 BIGMAN DANIEL ONE MEDICAL CENTER DRIVE DEPARTMENT OF PSYCHIATRY LEBANON NH 03756-0001 267-788-3622 1164434270 BILITCH GENNADII 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1174899512 BILLAKOTA SANTOSHI 223 EAST 34TH STREET NEW YORK NY 10016-4852 516-663-2818 1679558944 BILSKY MARK 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1992795207 BINDER WILLIAM 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1689613218 BING PAUL 1000 HIGHWAY 28 JASPER TN 37347-3638 727-507-3609
HUSKY Health Connecticut Page 6 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1982016366 BINNALL BRIAN 759 CHESTNUT STREET S4604 SPRINGFIELD MA 01107-1619 413-794-4013 1285832386 BINNS GREAR LORRAINE 555 WILLARD AVE PRIMARY CARE NEWINGTON CT 06111-2631 866-808-7921 1619170404 BITAR SOUAD 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1063571560 BIVONA JAMES ONE HOSPITAL PLAZA STAMFORD CT 06902-3628 203-276-7058 1396948964 BLACE NANCY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1861406142 BLACK JANETTE 69 SHERMAN STREET FAIRFIELD CT 06824-5821 203-255-1545 1629124060 BLACK ROBERT 330 BLAKE CIR HAMDEN CT 06517-0300 203-624-2428 1861931008 BLACKMER ALEKSANDRA 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1467591552 BLAIR CHARLES 836 FARMINGTON AVENUE SUITE 221C WEST HARTFORD CT 06119-1505 860-523-1451 1679921969 BLANKENSHIP ZACHARY 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1851796999 BLANKS DORIAN 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1619210473 BLEVINS JASON 535 EAST 70TH STREET NEW YORK NY 10021-4823 212-774-7598 1760757017 BLOND BENJAMIN 20 YORK STREET YNHH NEUROLOGY NEW HAVEN CT 06510-3220 203-688-4242 1659582419 BLOOM DAVID 1060 DAY HILL ROAD WINDSOR CT 06095-5719 860-688-5595 1760697635 BLOOM KATHERINE 55 WALLS DRIVE STE. 405 FAIRFIELD CT 06824-5163 203-259-7070 1811908940 BLUMBERG STEPHEN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1811964026 BODEN SCOTT 415 SILAS DEANE HIGHWAY SUITE 400 WETHERSFIELD CT 06109-2119 860-563-1400 1750676177 BOFFA MICHAEL 8714 5TH AVE BROOKLYN NY 11209-5230 512-767-6140 1063838258 BOGDASARIAN ROBERT 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1558322800 BOGORODOVSKY ALLA 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1619075173 BOHOMEY JEAN 500 ENTERPRISE DRIVE 500 ENTERPRISE ROCKY HILL CT 06067-3913 860-221-0799 1811464043 BOLDUC KAITLYN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1043738131 BOMBARDIER MARK 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1043387384 BOND STEVEN 34 DALE ROAD SUITE 208 AVON CT 06001-3659 860-677-0079 SCSU COUNSELING CENTER EN 1114083664 BONYAI EILEEN 501 CRESCENT ST NEW HAVEN CT 06515-1355 203-392-8861 219 1316935034 BOOLBOL ROBERT 11 SOUTH ROAD STE. 250 FARMINGTON CT 06032-2484 860-674-0222 1174930382 BORDEN LEANNE 48 SANDERSON STREET SUITE 200 GREENFIELD MA 01301-2778 413-773-2680 1972997138 BORTZ CHRISTINA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-5700 1770623639 BOSSIO DEBRA 100 DANBURY RD, SUITE 102 RIDGEFIELD CT 06877-4122 203-431-4443 1558637264 BOSTICK BARBARA 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1881856755 BOUCAI LAURA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1073137188 BOUCHARD AMY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1982638375 BOURQUE VICTORIA 55 NYE ROAD SUITE 102 GLASTONBURY CT 06033-1281 860-657-3056 1205920295 BOURQUE JR JESSE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1912098591 BOUTEILLER MATTHEW 289 COUNTY ROAD WINDSOR VT 05089-9000 802-674-7333 1972943652 BOVE JOSEPH 703 MAIN ST PATERSON NJ 07503-3079 973-754-2956 1407290398 BOWEN GLENDA 8 DEVINE STREET YNHH SLEEP MEDICINE NORTH HAVEN CT 06473-2172 203-287-3550 1619067303 BOWMAN MELISSA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-334-8152 1821002973 BOYAR EVAN 201 EAST SAMPLE ROAD POMPANO BEACH FL 33064-3502 954-847-4572 1851741581 BOYD RYAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1063429751 BOYER MICHAEL 40100 HIGHWAY 27 DAVENPORT FL 33837-5906 800-645-3055 1992071294 BOYETTE LEAH 2776 CLEVELAND AVE FORT MYERS FL 33901-5864 800-645-3055 1316289754 BOYKIN BRITTNEY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-4300 1740206309 BOYLE LISA 297 PROMENADE STREET PROVIDENCE RI 02908-5720 401-490-6452
HUSKY Health Connecticut Page 7 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1023496809 BOYLE MADALENE NEWPORT HOSPITAL 11 FRIENDSHIP ST NEWPORT RI 02840-2209 401-444-6779 1316070691 BRACCI BRIAN 391 SHAKER ROAD ENFIELD CT 06082-2376 860-763-6580 1679568349 BRADLEY DARIN 289 COUNTY ROAD WINDSOR VT 05089-9000 802-674-7333 1659609584 BRADY REBECCA 170 HAZARD AVE ENFIELD CT 06082-4520 860-749-2022 1457427601 BRADY TERENCE 2601 OCEAN PARKWAY SUITE 207 BRONX NY 11235-7745 718-924-2329 1285659177 BRAGDON ALLEN 29 LEWIS STREET GREAT BARRINGTON MA 01230-1713 413-881-5427 1124433107 BRAMATI MICHAEL 907 E. LAMAR ALEXANDER PKWY MARYVILLE TN 37804-5015 800-645-3055 1467975151 BRANCO TYLER 2344 BOSTON ROAD WILBRAHAM MA 01095-1104 413-596-5550 1144257288 BRAND MICHAEL 226 WHITE STREET DANBURY CT 06810-6814 203-702-6640 1891786802 BRANDOFF DOUGLAS DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-6464 1760648380 BRANZETTI JEREMY 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1760614689 BRATCHER MONTEL 40100 HIGHWAY 27 DAVENPORT FL 33837-5906 800-645-3055 1730240839 BRAUER LEE 836 FARMINGTON AVENUE SUITE 229 WEST HARTFORD CT 06119-1561 860-586-8930 1073552865 BRAY DIANE 664 PROSPECT AVE. HARTFORD CT 06105-4203 860-236-8087 1013946193 BRECKINRIDGE ROBERT 20 WEST AVON ROAD SUITE 101 AVON CT 06001-3677 860-673-0451 1457610800 BREEDE-DUKETT NICOLE 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-228-7793 1609967496 BREGANTE AUDREY 148 EAST AVENUE SUITE 3G NORWALK CT 06851-5727 203-838-4034 1538117049 BRENNAN MICHAEL 140 SHERMAN ST 2ND FLOOR FAIRFIELD CT 06824-5849 203-255-6780 1407366859 BRENNAN PATRICK 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1639516701 BRENNESSEL RYAN 727 NORTH BEERS STREET HOLMDEL NJ 07733-1514 800-645-3055 1992364301 BRESEE JAMEE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1962856179 BREW ODELIA 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-338-6600 1720182876 BRIDGER LAURIE 55 LOCK STREET YALE HEALTH NEW HAVEN CT 06511-3603 203-432-0076 1356507230 BRIGGS CHARLES 10628 ATRIUM HEALTH PINEVILLE CHARLOTTE NC 28210-8407 980-875-8039 1518016799 BRIGGS JUDITH 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 615-372-0078 1205217403 BRINDAMOUR LUKE 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-1281 1649206236 BRINDLE ALLISON 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-1000 1154677938 BRINSON WILLIAM 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1851350417 BRIONES MARIA 344 E MAIN ST STE 303 MOUNT KISCO NY 10549-3027 914-597-2317 1154375525 BRODSKY ADAM 30 SHELBURNE RD STAMFORD CT 06902-3628 203-276-7058 1649674987 BRODY ROBERT 60 LAFAYETTE ST BRIDGEPORT CT 06604-5714 203-576-4349 1164423760 BRODY SCOTT 600 ST JOHNSBURY ROAD LITTLETON NH 03561-3442 603-444-9271 1801455464 BROEMS KEVIN 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1437265808 BROOKS JEFFREY 166 CHERRY ST NEW CANAAN CT 06840-9317 203-323-7331 1578956405 BROOKS SARAH 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 203-313-1436 1588054977 BROSNAN AMY 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-7191 1427679976 BROSSI DANIELLE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-856-3271 1760918163 BROUSSARD JAIME 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1851498000 BROUSSEAU ERIN 101 DUDLEY STREET PROVIDENCE RI 02905-2401 401-273-0641 1689659435 BROWN CAROL 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1629163175 BROWN DENNIS 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1437318631 BROWN GABRIEL 185 ROUTE 312 CAREMOUNT MEDICAL PC BREWSTER NY 10509-2337 845-278-7000 1598994246 BROWN RYAN ONE ST. FRANCIS DR GREENVILLE SC 29601-3955 419-226-4343 1346508108 BROWN SAMUEL 80 HIGHLAND STREET LACONIA NH 03246-3235 603-524-3211 1982807525 BROWN SHERI 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 HUSKY Health Connecticut Page 8 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1639582042 BROWN STACY 20 YORK STREET YNHH NEUROLOGY NEW HAVEN CT 06510-3220 203-688-9503 1679548515 BROWN STACY 55 LAKE AVE NORTH WORCESTER MA 01655-0002 508-334-8010 1588624647 BROWN WILLIAM 335R PRAIRIE AVENUE SUITE 1A PROVIDENCE RI 02905-1924 401-444-5685 1932221140 BRUNO AMY 21 E 4TH STREET NEW YORK NY 10003-7012 302-313-1584 1760406698 BUBLY GARY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-854-2504 1578549010 BUCKBERG MIRIAM 701 ENFIELD STREET ENFIELD CT 06082-2961 860-741-6572 1336741693 BUI TRISHA Y NHI 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1114418365 BUMCI JONA 3180 MAIN STREET SUITE 303, 304 BRIDGEPORT CT 06606-4237 203-296-2016 1194053777 BUNNELL MAURICE 52 BEACH ROAD STE 104 FAIRFIELD CT 06824-6017 203-254-2000 1538609169 BUONOCORE PAUL 32 STRAWBERRY HILL COURT 3RD FLOOR STAMFORD CT 06902-2594 203-276-2182 1144753518 BURCHECI STEVEN 401 15TH AVE SE PUYALLUP WA 98372-3715 702-473-8900 1174635676 BURGER SUSANNE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1275636847 BURKARD DAVID 928 FARMINGTON AVENUE WEST HARTFORD CT 06107-1929 860-233-2322 1447353016 BURKE EMA 928 FARMINGTON AVENUE WEST HARTFORD CT 06107-1929 860-233-2322 1932468766 BURLEY KEITH 636 DEL PRADO BLVD CAPE CORAL FL 33990-2695 800-645-3055 1114171303 BURNES JILL 50 NUNNAWAUK RD NEWTOWN CT 06470-2319 203-270-2698 1730258617 BURNS MATTHEW 3400 MAIN STREET SPRINGFIELD MA 01107-1113 413-794-9560 1538586763 BURSHTEIN SARA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1245307438 BURSTEIN DAVID 34 DALE ROAD SUITE 208 AVON CT 06001-3659 860-677-0079 1811986177 BURTON JAY 701 ENFIELD STREET ENFIELD MEDICAL ASSOCIATES ENFIELD CT 06082-2961 860-741-6572 1578881264 BURTON REBECCA 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1962449900 BURTT DOUGLAS 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-4102 1922131234 BUTLER FRANCIS 201 14TH ST SW LARGO FL 33770-3133 727-773-4203 1669459178 BUTLER LAURIE 2344 BOSTON ROAD WILBRAHAM MA 01095-1104 413-596-5550 1912075706 BUZZELL STEPHEN 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-4699 YNHH OBSTETRICS & 1780119453 BYNUM BLYTHE 20 YORK STREET NEW HAVEN CT 06510-3220 203-688-4242 GYNECOLOGY 1821264656 BYRNS RICHARD ONE HOSPITAL PLAZA STAMFORD CT 06902-2417 203-276-7058 1932148814 CABRAL MARY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2930 UMASS MEMORIAL MEDICAL 1205995123 CAHILL STEPHEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-856-1168 GROUP 1285817569 CALAME ANTOANELLA 6605 NANCY RIDGE DR. SAN DIEGO CA 92121-2253 858-750-2983 1073771911 CALL THERESA 1500 N 28TH ST RICHMOND VA 23223-5332 419-226-4343 1144343328 CALLAHAN ANN 10 CORBIN DR. SUITE 4 DARIEN CT 06820-5403 203-655-0002 1578788691 CAMBRE APRIL 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE RI 02915-5061 401-432-1000 1366475469 CAMERON SANDRA SPRINGFIELD MEDICAL ASSOCIATES 2150 MAIN STREET SPRINGFIELD MA 01104-3300 860-741-6572 1942310040 CAMP FRANCIS 359 FARMINGTON AVENUE PLAINVILLE CT 06062-1343 860-747-5761 1003881624 CAMPAGNA ALLYSON 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-8152 1790981025 CAMPBELL MATTHEW 1055 NORTH CURTIS ROAD BOISE ID 83706-1309 800-645-3055 1639163314 CAMPBELL SCOTT 1111 HAYES AVE SANDUSKY OH 44870-3323 800-633-2243 1053417998 CAMPBELL GETHERS MARIAN 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 203-757-5339 1265541056 CAMPO ALFONSE 111 HIGH RIDGE RD STAMFORD CT 06905-3813 203-354-3974 1184801458 CANDELARIA EFRAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-793-6348 1568549996 CANNON DEIRDRE 160 HAWLEY LANE TRUMBULL CT 06611-5033 203-377-0819 1003956905 CANONICO ROBERT 98 1079 MOANALUA RD AIEA HI 96701-4713 800-645-3055
HUSKY Health Connecticut Page 9 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1235334913 CANTATOREFRANCIS JULIE 148 EAST AVE. SUITE 3B NORWALK CT 06851-5726 203-538-5682 1801857149 CANTO CHRISTOPHER 80 HIGHLAND STREET LACONIA NH 03246-3235 603-524-3211 1942273511 CANTU SANTOS 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1073706081 CAO CARLOS 4300 ALTON ROAD MIAMI BEACH FL 33140-2948 305-535-7912 1700264827 CAPPADONA PATRICIA 26 QUEEN STREET WORCESTER MA 01610-2473 508-334-6173 1053633511 CARACANSI ANNMARIE 200 IVY STREET BROOKLINE MA 02446-3907 781-732-0253 1063059566 CARACCIOLO COREY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1861592156 CARAYANNOPOULOS ALEXIOS 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 UMASS MEMORIAL MEDICAL 1255821609 CARBONE CHRISTINA 119 BELMONT STREET WORCESTER MA 01605-2903 774-443-7552 GROUP 1770712960 CARGILL JR ALGERNON 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1407265978 CARIGNAN MARISSA 6 SHAWS COVE SUITE 204 NEW LONDON CT 06320-4969 203-538-5682 1558489161 CARIUS KATHLEEN 1129 STRATFORD AVE MILFORD CT 06460-3142 203-375-8050 1699726554 CARLESI VINCENT 999 SUMMER STREET SUITE 304 STAMFORD CT 06905-5513 203-325-5700 1093119760 CARLI ALBERTO HOSPITAL FOR SPECIAL SURGERY 535 E 70 ST NEW YORK NY 10021-4823 212-774-7598 1508812942 CARNEIRO RAQUEL 245 CHAPMAN STREET SUITE 300 PROVIDENCE RI 02905-4539 401-444-4741 1033378435 CARON DAVID 24 PUTNAM PIKE DAYVILLE CT 06241-1608 860-779-1230 1730144353 CARPENTER MARSHALL 148 WEST RIVER STREET SUITE 8 PROVIDENCE RI 02904-2961 401-606-3000 1982047239 CARR JAMES 535 EAST 70TH STREET NEW YORK NY 10021-4823 212-774-7598 1376557199 CARROLL CAROLYN 6 BUSINESS PARK DR. SUITE 204 BRANFORD CT 06405-2924 203-538-5682 1568557734 CARTER ARTHUR 363 HIGHLAND AVE FALL RIVER MA 02720-3703 508-973-3584 1497158521 CARTER HEATHER 400 CAPITOL BLVD ROCKY HILL CT 06067-3913 860-986-3289 1508027244 CARTER ROBERT 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2752 1730239971 CARVAJAL CARLOS 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1598900649 CASCADDEN JOSHUA 289 COUNTY ROAD WINDSOR VT 05089-9000 802-674-7333 1518136167 CASCO JANICE 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2323 1295920239 CASEY ELLEN 535 E 70TH ST NEW YORK NY 10021-4823 212-774-7598 1336677574 CASILLO CHRISTINA 415 RIVERSIDE DRIVE N. GROSVENORDALE CT 06255-2165 860-923-1897 1467598193 CASSIDY CHRISTINE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1548724255 CASTALDI LAUREN 84 HOSPITAL AVENUE DANBURY CT 06811 203-792-0400 1679772537 CASTELLANO VINCENZO 535 E 70 ST HOSPITAL FOR SPECIAL SURGERY NEW YORK NY 10021-4823 212-774-7598 1588027791 CASTELLON MIREYA 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1609118421 CASTELLONE JOANN 191 ALBANY TPKE CANTON CT 06019-2554 860-693-0887 1316977242 CASTIGLIONE JR FRANK 1844 WHITNEY AVENUE HAMDEN CT 06517-1400 203-281-5445 1689891129 CASTILLO JORGE DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE, LW-210 BOSTON MA 02215-5418 617-632-6140 1538498233 CATANIA IRENE 158 POMFRET STREET PUTNAM CT 06260-1855 860-963-2250 1346262029 CATAQUET DAVID 530 NEW BRUNSWICK AVE PERTH AMBOY NJ 08861-3654 623-241-8324 1245209824 CAVAGE JENNIFER 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 541-510-9377 1285791244 CAVOLI ROBERT 65 MAIN ST. TERRYVILLE CT 06786-5103 860-582-5950 1144588567 CEMALOVIC NAIL 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1407232259 CERASARO MICHAEL 501 E HAMPDEN AVE ENGLEWOOD CO 80113-2702 949-430-5237 1073596011 CEREZO CAROLINA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 UMASS MEMORIAL MEDICAL 1982960696 CERULLO JAMES 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1851493852 CHA BRUCE 60 WASHINGTON AVE STE 202 HAMDEN CT 06518-3272 203-281-6574
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1578080651 CHACE CATHERINE 111 SALEM TURNPIKE SUITE 7 NORWICH CT 06360-7403 860-859-2262 1205857117 CHACHAJ JERZY 115 SPENCER STREET WINSTED CT 06098-1141 860-738-6985 1861659500 CHAFT JAMIE 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 164-622-7376 1326155300 CHALABI JUMANA 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1871576736 CHALEBY KUTAIBA 5300 KIDSPEACE DRIVE OREFIELD PA 18069-2044 610-799-8130 1710044847 CHAMBERLIN DOUGLAS 49 WELLES ST STE 202 GLASTONBURY CT 06033-4205 860-659-4010 1700227352 CHAMBERS CAROLYN 315 S MANNING BLVD ALBANY NY 12208-1707 800-645-3055 1568427243 CHAN ALEXANDER 13-17 ELIZABETH STREET SUITE 510 NEW YORK NY 10013-4903 212-334-3999 1265658116 CHAN PHILIP 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-444-6779 1891349981 CHAN SERENA 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1386672053 CHAN STEPHEN 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1043598956 CHAN WAIYAN 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1659790970 CHANG DANIEL 11 SOUTH ROAD STE. 250 FARMINGTON CT 06032 860-714-6654 1356724173 CHANG MICHAEL 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1144518697 CHAO EDWARD 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1003158460 CHAO PA CHRISTINA 761 MAIN AVE SUITE 102 NORWALK CT 06851-0001 860-282-4128 1184032898 CHAPLIN KRISTIN 3300 MAIN STREET 3RD FL, STE C&D SPRINGFIELD MA 01107-1112 413-794-5600 1831755461 CHAPMAN DREW 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1174566806 CHAPMAN LAURA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1740542687 CHARLETON HOLLY 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1932312709 CHARNEY HOWARD 2559 DIXWELL AVENUE HAMDEN CT 06514-1809 203-248-0072 1235657040 CHASE CHRISTY 275 QUINNIPIAC UNIVERSITY IR-HLT HAMDEN CT 06518-1905 203-582-8738 ADVANCED ENDODONTICS OF CT 1982825378 CHASEN JOEL 546 S BROAD STREET SUITE 3B MERIDEN CT 06450-6601 203-237-7449 PC 1710304233 CHEEMA SAMIA 101 HOSPITAL CENTER BLVD. STAFFORD VA 22554-6200 800-645-3055 1164681573 CHEN AMY 1 WILLOWBROOK RD SUITE 2 CROMWELL CT 06416-6230 860-322-2222 UMASS MEMORIAL MEDICAL 1477006120 CHEN YAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-441-6767 GROUP 1891021788 CHENAIL SARAH 725 NORTH STREET PITTSFIELD MA 01201-4124 413-447-2752 1144232257 CHERNOV VALERIY 2601 OCEAN PARKWAY BROOKLYN NY 11235-7745 718-924-2329 1376533711 CHERNYY VITALIY 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1669592630 CHERRONE DEANNA 639 PARK ROAD SUITE 304 WEST HARTFORD CT 06107-3443 860-677-4600 1033215256 CHERVIN BRADFORD 2600 POST ROAD SOUTHPORT CT 06890-1258 203-256-3338 1235321241 CHEW EDWARD 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1215310719 CHHIKARA ADITYA 282 WASHINGTON ST HARTFORD CT 06106-3322 860-837-6277 1245215565 CHI DENNIS 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1558423954 CHIANG WILLIAM 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1982794731 CHIECHI MARIA 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1205882834 CHILDRESS DAVID 1114 W MADISON AVE ATHENS TN 37303-4150 888-851-7590 1538439484 CHILDS DENIS 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1174576847 CHIN MARTIN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1730310996 CHIN TINA 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-8020 1750760625 CHINEME JESSICA 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1952613887 CHINTALA PRATAP 301 MEMORIAL MEDICAL PKWY DAYTONA BEACH FL 32117-5167 800-645-3055 1659661239 CHIRICHIGNO JASON 67 BURNSIDE AVENUE EAST HARTFORD CT 06108-3408 302-810-1584
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1114019163 CHIRINO MARIA 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1730621491 CHITEMERERE CHRISPINA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 413-313-2935 1508220179 CHITKARA RITIKA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1457650814 CHO CHRISTINA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1073975736 CHOI ALEX 330 CEDAR STREET PALLIATIVE MEDICINE NEW HAVEN CT 06510-3218 203-737-8867 1700236064 CHOI AUSTIN 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1619964400 CHOI SEAN 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1144383720 CHOI YVONNE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1669577953 CHOMIAK MARY ANN 5520 PARK AVENUE STE. WP2-200 TRUMBULL CT 06611-3463 203-743-7246 1083000111 CHONG SAMUEL 7600 BEECHNUT HOUSTON TX 77074-4302 385-695-1660 1710040639 CHOU KATHERINE 1400 PELHAM PKWY S ROOM BS35 BRONX NY 10461-1138 718-918-3043 1437333663 CHOUDHURY MUZADED 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1184061400 CHOW ERIC 593 EDDY STREET 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6195 1073804175 CHOW KIMBERLY 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1720286628 CHOW MICHAEL 1140 RTE 72 WEST MANAHAWKIN NJ 08050-2412 800-645-3055 1972959039 CHRIST SHELLEY 60 AVON MEADOW LANE 2ND FLOOR AVON CT 06001-3744 860-819-3651 1922136886 CHRISTIAN LAWRENCE 625 HOPMEADOW STREET SIMSBURY CT 06070-2449 860-658-1991 CENTER FOR DENTAL 1508266750 CHRISTIAN MICHAEL 625 HOPMEADOW ST SIMSBURY CT 06070-2449 860-658-1991 EXCELLENCE 1689744708 CHRISTIAN TIMOTHY 1400 PELHAM PKWY S BRONX NY 10461-2118 718-924-2329 1770810319 CHU JEFFREY 1060 DAY HILL ROAD WINDSOR CT 06095-5719 860-688-5595 1326324831 CHUKUMERIJE ZIMATU 82-68 164TH STREET 140 JAMAICA NY 11432-1121 718-924-2329 1326338559 CHUKWUEKE UGONMA 450 BROOKLINE AVE, BOSTON MA 02215-5450 617-632-2166 1720413214 CHUN PATRICIA 201 14TH ST SW LARGO FL 33770-3133 737-588-5200 1811911753 CHUN THOMAS 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1295924140 CHUN TRISSY 1301 PUNCHBOWL ST HONOLULU HI 96813-2402 385-695-1936 1700044468 CHUNG ERICA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-7396 1518992874 CHUNG JIN 555 WILLARD AVENUE NEWINGTON CT 06111-2631 203-932-5711 1104997840 CHUNG SUSAN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1629456678 CHURUKIAN NAREG 101 HOSPITAL CENTER BLVD. STAFFORD VA 22554-6200 800-645-3055 1992723282 CIANCIMINO DAVID 4 CORPORATE DRIVE SUITE 382 SHELTON CT 06484-6211 203-372-5695 1740390228 CIARALLO LYDIA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1649428319 CIARCIA JAMES 388 EAST MAIN ST SUITE 3 BRANFORD CT 06405-2914 203-483-5300 1710211370 CICHON ZIMKUS DEANNA 464 WOLCOTT ROAD NUMBER 3 WOLCOTT CT 06716-2626 203-433-5227 1396775748 CIGNO THOMAS 10 SOUTH STREET #201 RIDGEFIELD CT 06877-4125 203-244-7848 1063473312 CIMINO PETER 1300 POST RD SUITE 202 FAIRFIELD CT 06824-6038 203-255-8827 1801842505 CIMINO WILLIAM 52 BEACH RD STE 207 FAIRFIELD CT 06824-6017 203-255-7000 1720020597 CIOFFI PATRICIA 555 WILLARD AVENUE NEWINGTON CT 06111-2600 860-666-6951 1063436418 CIONNI DAVID 1024 CENTRAL PARK DR STEAMBOAT SPRINGS CO 80487-8813 800-645-3055 1316025448 CIORCIARI ANTHONY 1400 PELHAM PKWY S ROOM BS35 BRONX NY 10461-3118 718-918-3043 1033200506 CLARK ANDREW 5300 KIDSPEACE DRIVE OREFIELD PA 18069-2044 610-799-7089 1326387846 CLARK ANN MARIE 91 WATER STREET MILFORD MA 01757-3005 508-458-4250 1316107642 CLARK BRADLEY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1124098876 CLARK HELEN 725 NORTH STREET PITTSFIELD MA 01201-4109 413-447-2752 1194862730 CLARK JOHN 506 LENOX AVENUE KOUNTZ PAVILLION, ROOM 633 NEW YORK NY 10037-1889 212-939-3501
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1275923781 CLARK JONATHAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1770517260 CLARK PETER 144 STATE STREET PORTLAND ME 04101-3776 800-645-3055 1831132406 CLARK TIFFANY 29 LEWIS STREET GREAT BARRINGTON MA 01230-1713 413-881-5427 1962410043 CLARKE AUBREY 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1457575052 CLAUSS KELLY 55 PECK ROAD TORRINGTON CT 06790-6106 860-482-8588 1952713620 CLAYTON JEROME 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1083153969 CLIFFORD MATTHEW 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1457991812 CLOUETTE JOSHUA UMASS MEMORIAL MEDICAL GROUP 55 LAKE AVENUE NORTH BOSTON MA 01655-0002 774-443-7552 1568738466 CLOW BRIAN 701 GROVE RD GREENVILLE SC 29605-4210 864-454-8611 1083638928 CLYNE BRIAN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1821618489 COBLYN JACOB 40 WRIGHT STREET PALMER MA 01069-1138 413-370-5400 1093914715 COCHRAN THOMAS 181 CORLISS LANE UPPER CT VALLEY HOSPITAL COLEBROOK NH 03576-1718 508-482-9600 1437310182 COCOLA ELIZABETH 131 GAIL LANE SOUTH WINDSOR CT 06074-4224 860-282-9457 1679557276 CODY III HIRAM 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1932121365 COE MARY 72 NORTH STE 103 DANBURY CT 06810-5627 203-748-1200 1942231782 COFFEY TOM 15 CORPORATE DRIVE TRUMBULL CT 06611-1351 203-452-7081 1942237847 COGHLIN DANIEL 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1427141696 COHEN BRUCE 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1033294269 COHEN KENNETH 22 UPPER MAIN STREET BOX 634 SHARON CT 06069-0634 917-597-7890 1962604785 COHN JAMIESON 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1740271444 COIT DANIEL 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1073789830 COLAN MIGUEL 330 MAIN STREET 2ND FLOOR HARTFORD CT 06106-1880 860-241-0448 1841375144 COLEMAN FERNANDO 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1780043539 COLEMAN MAIREAD 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1821095431 COLEMAN MARK 67 SANDPIT RD. STE. 308 DANBURY CT 06810-4032 410-329-1071 1013008044 COLEMAN TANA 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1205062205 COLICCI-FAVRETTO NATALIE 2 CORPORTATE DRIVE, UNIT 112 TRUMBULL CT 06611-3563 203-371-1021 1578060281 COLLAZO SUSANA 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-2147 UMASS MEMORIAL MEDICAL 1649620501 COLLERAN PETER 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-441-6767 GROUP 1538184759 COLLINS BRADLEY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1790888584 COLLINS SIOBHAN 499 FARMINGTON AVE SUITE 230 FARMINGTON CT 06032-1933 860-676-1900 1568710473 COLMAN RAMON 410 S 11TH ST LAKE WALES FL 33853-4203 800-645-3055 1497099519 COLON ROMAN WANDA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1285650622 COLWELL SHARON 1450 CHAPEL ST NEW HAVEN CT 06511-4405 203-789-3000 1730115668 COMIS JOHN 46 FAIRVIEW AVE SKOWHEGAN ME 04976-0468 623-241-8312 1023113818 CONDON DEIDRE 172 MT. PLEASANT RD. NEWTOWN CT 06470-1443 203-426-0045 UMASS MEMORIAL MEDICAL 1104379783 CONLAN BRAEDEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1346512274 CONNOR ERIN 4300 ALTON ROAD MIAMI BEACH FL 33140-2948 480-977-3271 1346649019 CONNOR JACQUELINE 2150 MAIN STREET SPRINGFIELD MA 01104-3566 860-741-6572 1871668186 CONRAD CYNTHIA PSYCH CONSULT & SPEC SVC, LLC 9 WINGATE ROAD GUILFORD CT 06437-5501 203-499-7096 1265434526 CONSTANTINOU EUGENE 555 WILLARD AVE NEWINGTON CT 06111-2631 860-666-6951 1376524413 CONWAY EDWARD 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1720372196 CONWAY ERIN 223 E 34TH ST NEW YORK NY 10016-4852 646-558-0803
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1235589037 CONWELL MORGAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1316419732 COOKE EMMA 1817 BLACK ROCK TPKE STE 205 FAIRFIELD CT 06825-3546 914-227-2088 1639275662 COOKE ROBERT 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1821528969 COOLEY JACOB 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1255792479 COOPER DANIELL 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 203-605-3258 1992152011 COOPER VANESSA 20 YORK STREET NEUROLOGY NEW HAVEN CT 06510-3220 203-785-4085 1881022879 COORE MAXINE 950 CAMPBELL AVE WEST HAVEN CT 06516-1233 203-798-8422 1548371800 COPANS STUART 455 SOUTH STREET BARRE MA 01005-0304 978-355-4541 1396706230 COPE JENNIFER 1200 EAST RIDGEWOOD AVE SUITE 208 RIDGEWOOD NJ 07450-3957 201-444-0868 1598763997 COPPOLA PAUL 145 DURHAM RD. STE 1 OAK PARK PROF.OFFICES MADISON CT 06443-2656 203-245-8035 1275627200 CORBIN DAVID 273 COUNTY ROAD NEW LONDON NH 03257-5736 603-526-5203 1639105810 CORCORAN CELESTE 593 EDDY STREET HASBRO LOWER LEVEL PROVIDENCE RI 02903-4923 401-444-8984 1023409323 CORCORAN GREGORY 100 CAPITAL WAY PENNINGTON NJ 08534-2520 215-442-5084 1619967114 CORDES DAVID 145 HAZARD AVE ENFIELD CT 06082-4521 860-749-1909 1366604068 CORREA DANIEL 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1720173099 CORRIVEAU JENNIFER 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1407015944 CORSELLO STEVEN 450 BROOKLINE AVE DANA FARBER CANCER INSTITUTE BOSTON MA 02215-5418 617-632-4500 1588651376 CORTES BELEN ERNESTO 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1306483680 COSMUS NAOMI 3300 MAIN STREET 4TH FL, SUITE D SPRINGFIELD MA 01107-1112 413-794-7045 1881793479 COULIBALY OUSSEINY 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1063937720 COYLE KAITLIN 435 LEWIS AVE. MERIDEN CT 06451-2101 203-710-5419 1508220260 COYNE CONOR 725 NORTH STREET PITTSFIELD MA 01201-4124 413-447-2726 1629039847 CRAFTON CHARLES 1330 TAYLOR AT MARION STREETS COLUMBIA SC 29203-6863 888-851-7590 1104086925 CRAGO AIMEE 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1225036528 CRISCENZO DONNA 199 GOOSE LANE GUILFORD CT 06437-2115 203-458-2888 1568606960 CRISTESCU GEORGE 455 TOLL GATE RD JOHNSON BUILDING WARWICK RI 02886-2791 401-273-0641 1487032736 CRISTOFANO-CASELLA STEPHANIE 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1255451662 CROFT CHASEN 1600 SW ARCHER RD GAINESVILLE FL 32610-3003 800-645-3055 1265058507 CROPP ANNE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1578001426 CROWLEY JUSTIN 3000 ARLINGTON AVE TOLEDO OH 43614-2595 419-383-4025 1790816676 CRUEA STEVEN 1333 TAYLOR STREET COLUMBIA SC 29202-2266 803-296-7998 1194793794 CRUMP MICHAEL 2720 SUNSET BLVD WEST COLUMBIA SC 29169-4810 888-851-7590 1639610918 CRUZ FABIOLA 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7072 UMASS MEMORIAL MEDICAL 1467656330 CUCCHI ERIC 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-797-5512 GROUP 1538197066 CULLEN MICHAEL 315 S MANNING BLVD ALBANY NY 12208-1707 800-645-3055 1174799944 CUNNINGHAM ANDREW 21 E 4TH STREET NEW YORK NY 10003-7012 302-313-1584 1457803298 CUNNINGHAM LINDA 75 SEMINARY HILL RD. CARMEL NY 10512-1921 845-225-3400 1063859262 CUNNINGHAM MICHAEL 410 S 11TH ST LAKE WALES FL 33853-4203 800-645-3055 1831413806 CURLEY DAVID 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1033111356 CURRAN DONALD 950 CAMPBELL AVE WEST HAVEN CT 06516-2770 203-932-5711 1982725032 CURRAN KEVIN 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3754 UMASS MEMORIAL MEDICAL 1154610590 CURRIER MICHAEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-3068 GROUP 1518903293 CURRY CRAIG 7 GERMANTOWN RD DANBURY CT 06810-5000 203-798-8422
HUSKY Health Connecticut Page 14 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1952565889 CURTICE WALTER 3 CRESTVIEW DR QUALITY MEDICINE LLC WESTERLY RI 02891-2907 203-240-3405 1457519829 CUSHING SEAN 10123 SE MARKET PORTLAND OR 97216-2532 800-633-2243 1588637938 CUSHNER FRED 535 EAST 70TH STREET NEW YORK NY 10021-4823 212-774-7598 1992964548 CUTTING SHAWNA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1982819058 CWIK RONALD 652 BOSTON POST ROAD GUILFORD CT 06437-2719 203-453-5214 1366674574 CYRIL GEORGE 535 EAST 70TH STREET NEW YORK NY 10021-4823 212-774-7598 1801882337 D ANGELO JOHN 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1770591307 DAHLBERG CARL 725 NORTH STREET PITTSFIELD MA 01201-4109 413-447-2752 1679699136 DAHLGARD KAREN 832 TALL TIMBER RD ORANGE CT 06477-1424 203-387-8425 1639144843 DAHLSTROM GERALD 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-8152 1053372862 DAHLSTROM RUTH 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1376809657 DAHN CASSIDY 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1548647183 DAILEY JOELYNN 263 FARMINGTON AVE LM068 FARMINGTON CT 06030-1921 860-679-4763 1215916697 DALBAGNI GUIDO 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1578160701 DALENE BRITTNEY 46 PRINCE STREET SUITE 306 NEW HAVEN CT 06519-1600 203-786-5067 1780623496 DALLEY MICHAEL 4300 ALTON ROAD MIAMI BEACH FL 33140-2948 305-535-7912 1386892321 DALRYMPLE NANCY HJDC 920 BROAD ST HARTFORD CT 06106-2402 860-291-9692 1891755211 DALUISKI AARON 535 E. 70TH ST. NEW YORK NY 10021-4823 646-797-8471 1205418498 DALY SUSAN 52 BEACH RD SUITE 104 FAIRFIELD CT 06824-6017 203-254-2000 1053489864 DAMAN LAUREN 100 RETREAT AVE SUITE 603 HARTFORD CT 06106-2528 860-246-3533 1457882276 DAMANAKIS HARALAMBOS 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1265879555 DAMRONGWATANASUK RONGRAS 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1861422982 DANG CHAU 500 WESTCHESTER AVE MSK HARRISON WEST HARRISON NY 10604-3200 646-227-3742 1124405113 DANIAL WILLIAM 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1982775649 DANIEL JEAN 234 E149TH STREET BRONX NY 10451-5504 718-579-4900 1760642698 DANIELS ALAN 593 EDDY STR RHODE ISLAND HOSPITAL PROVIDENCE RI 02903-4923 401-490-1939 1528401304 DANIELS-MILLER LINDA 36 EAST MAIN STREET AVON CT 06001-3801 860-677-5533 1891752002 DANOSI STEVE 16 HOSPITAL ROAD PLYMOUTH NH 03264-1126 603-238-6467 1760518724 DANZIGER HENRY 297 CHURCH ST DENTAL OFFICE NAUGATUCK CT 06770-3629 203-729-0563 1053399105 DAPAAH-AFRIYIE KWAME 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1053764993 DARKOH ERNEST 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-793-6348 1720340409 DARLA SIGI 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1356990568 DARNELL CAREY 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1386717783 DARVISH AMIR 800 WASHINGTON STREET BOSTON MA 02111-1552 617-636-4721 1962425009 DASCANIO JOSEPH 532 CHAPEL STREET NEW HAVEN CT 06511-6905 203-865-4286 1255564787 DAUGHERTY DENE 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1942339882 DAUL ADRIAN 30 LOCUST STREET NORTHAMPTON MA 01061-5001 508-482-9600 1952715336 DAVENPORT CURTIS 201 14TH ST SW 5602 SW LEE BLVD LARGO FL 33770-3133 888-851-7590 1013432582 DAVIAU DUNCAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1396874723 DAVIES JEFFREY 340 BROAD ST SUITE 205 TOTAL MEDICAL CARE WINDSOR CT 06095-3030 860-688-8888 1487621199 DAVIES KIMBERLY 450 BROOKLINE AVE BOSTON MA 02215-5405 617-632-4998 1386603967 DAVIES MONIKA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1184756900 DAVIS DANIELLE 5 RICHLAND MEDICAL PARK COLUMBIA SC 29203-6863 888-851-7590 1710114830 DAVIS DONNA 335 BILTON ROAD SOMERS CT 06071-1044 860-538-2153 1700818879 DAVISON JAMES 200 STONECREST BLVD., SUITE 15 SMYRNA TN 37167-6810 727-507-3606 HUSKY Health Connecticut Page 15 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1033591532 DAWSON CATHERINE 20 YORK STREET YNHH GERIATRICS NEW HAVEN CT 06510-3220 203-688-9423 1710398235 DE AQUINO LIMA JOAO PAULO 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6664 203-785-2095 1104109305 DE LARA KRISTOFFER 11 SOUTH ROAD STE. 250 FARMINGTON CT 06032-2484 860-674-0222 1053676627 DE SOUZA ANDREA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2920 1285152918 DE STIO CATHERINE ONE HOSPITAL PLAZA STAMFORD CT 06902-3682 203-276-7058 1578524948 DEARY DAVID 55 LAKE AVE NORTH WORCESTER MA 01655-0002 508-334-8010 1831149780 DEFOREST KELLY 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-748-8484 1306913785 DEITZ JEFFREY 1261 POST ROAD SUITE 200-A FAIRFIELD CT 06824-6072 203-255-0770 1275853897 DELACALZADA JEANLOUIE MAE 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1942402136 DELEON LYNDSEY 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405-4234 702-473-8900 1093867913 DELFINI RONALD 1204 CHAPEL ST. NEW HAVEN CT 06511-4777 203-787-4770 1396874921 DELIYANNIDES DEBORAH 30 OLD KING''S HIGHWAY SOUTH DARIEN CT 06820-0820 203-655-7657 1730367806 DELLAVOLPE MICHAEL 474 N MAIN ST SOUTHINGTON CT 06489-2542 860-621-7770 1154785715 DELMONTE ANTHONY 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06512-6663 203-785-2095 1740800879 DELUDE CHRISTINA 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1619990868 DELVECCHIO JOHN 500 W. PUTNAM AVE SUITE 400 GREENWICH CT 06830-6096 203-274-2870 1588631964 DEMAC ALEX 530 MIDDLEBURY ROAD SUITE 202-B MIDDLEBURY CT 06762-2500 203-758-1817 1043752538 DEMACEDO SHERRY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1841267093 DEMETRI GEORGE DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVENUE BOSTON MA 02215-5418 617-632-5917 1467472217 DEMINO TRACEY 206 SECOND STREET EAST BRADENTON FL 34208-1042 941-745-7400 1760405542 DEMPSEY THOMAS 163 BROADWAY ST COLCHESTER CT 06415-1022 860-228-1719 1174760326 DENG SHAOHUA 1102 WASHINGTON ST BRAINTREE MA 02184-5438 781-794-5314 1245481845 DENNEY CLIFFORD 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1508139221 DENSLEY LINDSEY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-444-7334 1083232003 DEPALMA YUNIKA 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1467083402 DERRICOTTE ELLIOT 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1003892902 DESAI NINAD 451 CLARKSON AVENUE BROOKLYN NY 11203-2054 718-924-2329 1770014888 DESAI SAPNA 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-2147 1124122148 DESAI UDAY 1275 SUMMER STREET,SUITE 102 STAMFORD CT 06905-5315 203-325-0764 1013462332 DESERRES DANIELLE 3300 MAIN STREET SPRINGFIELD MA 01107-1112 413-794-5600 1154617686 DESESA CHRISTOPHER 115 ELM STREET ENFIELD CT 06082-3712 413-788-9621 1316309503 DESOUZA FLAVIA 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1043214604 DESPOT KATY 115 TECHNOLOGY DR, A100 TRUMBULL CT 06611-5343 203-880-5556 1124190517 DEVAS GERARD 234 E149TH STREET BRONX NY 10451-5504 718-579-4900 1821270703 DEVIKA GAJRIA 300 E. 66TH ST NEW YORK NY 10065-6800 646-888-4526 1679581623 DEVINSKY ORRIN 223 EAST 34TH ST NEW YORK NY 10016-4852 646-558-0859 1962751396 DEVKOTA ASHOK 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1144262403 DEVLI AYNUR 65 JAMES STREET EDISON NJ 08820-3947 800-645-3055 1710145404 DHARIA PRACHI 82-68 164TH STREET SUITE 207 JAMAICA NY 11432-1121 718-924-2329 1215000682 DHARMARAJAN LEKSHMI 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1912185075 DHILLON RAJESH 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1245645035 DHILLON SAUD 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-3985 1235541277 DHOND MUKTA 950 CAMPBELL AVENUE WEST HAVEN CT 06516-2770 203-687-3453 UMASS MEMORIAL MEDICAL 1528339934 DHROSO KAYLN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP
HUSKY Health Connecticut Page 16 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1821583766 DIAS ALEXANDRA 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1831538016 DIAZ BALZAC ROBERTO 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1477945368 DIBARA COLLEEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1154895704 DIBIASE TRISHA 187 SOUTH CANAAN ROAD CANAAN CT 06018-2544 860-824-1397 1649627811 DIBIASIO-WHITE ERIC 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-5550 1801877915 DICKSTEIN ROSS 67 SANDPIT RD. STE. 308 DANBURY CT 06810-4032 410-329-1071 1356330344 DIEDERICH JENNIFER 218 MAIN STREET FARMINGTON CT 06032-2959 860-470-3660 1386624138 DIGANGI MARY 326 NICHOLAS ROAD FITCHBURG MA 01420-1914 508-334-6556 1871861625 DILLON RYAN 420 EAST MAIN STREET SUITE #5 BRANFORD CT 06405-2941 203-433-2550 1265492664 DINOLFO TAMARA 159 W. PUTNAM AVE BROOKSIDE GYNECOLOGY GREENWICH CT 06830-0001 203-869-7080 1710962709 DISA JOSEPH 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1871684142 DITRO COLLEEN 1600 ROCKLAND ROAD WILMINGTON DE 19803-3607 302-651-4548 UMASS MEMORIAL MEDICAL 1467826511 DIXON ANNIKA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-441-6767 GROUP 1578750808 DIXON PETER 192 WESTBROOK RD. ESSEX CT 06426-1556 860-767-1200 1417032483 DIXON TREVOR 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1194787028 DIXSON MILADY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1245490036 DLUGOKINSKI-PLENZ SYLVIA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 716-983-1283 UMASS MEMORIAL MEDICAL 1922450477 DO LIEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-856-2846 GROUP 1831176445 DOBERSTEIN CURTIS 593 EDDY STREET PROVIDENCE RI 02903-4923 401-793-9166 1134665383 DOBERSTEIN LINDA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6195 1912325986 DOBRINSKY JONATHAN 1600 S ANDREWS AVE FORT LAUDERDALE FL 33316-2510 800-645-3055 1275850810 DOBTSIS JOSEPH 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1700195807 DOCCHIO MICHAEL 6 DAVIS ROAD WEST OLD LYME CT 06371-2323 860-434-5565 1952383960 DOCTOROFF LAUREN 330 BROOKLINE AVE BOSTON MA 02215-5400 617-754-4677 1669491775 DODDAMANE SANTOSH 555 WILLARD AVE NEWINGTON CT 06111-2600 860-666-6951 1215324512 DODSON STEPHEN 1425 MALABAR ROAD NE PALM BAY FL 32907-2506 623-582-2141 1497700652 DOHERTY LISA DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVENUE BOSTON MA 02215-5450 617-632-5925 1144610528 DOLAN ANDREA 1275 YORK AVENUE NEW YORK NY 10065-6007 646-227-3764 1588713317 DOLAN SHALIZ 3401 NORTH BROAD STREET PHILDELPHIA PA 19140-5103 215-707-1429 1093808883 DOLAN THOMAS 1160 SILAS DEANE HIGHWAY SUITE 103 WETHERSFIELD CT 06109-4330 860-529-2000 1891857553 DOLL CHERYL 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-882-8673 1669703245 DOMINGUES RUI 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1609180694 DOMINO DAVID 355 NEW SHACKLE ISLAND RD HENDERSONVILLE TN 37075-2479 727-507-3609 1982729174 DOMMU VERNON 198 PRATT STREET FAIRFIELD CT 06824-6484 203-336-1275 1508840760 DONAHUE SEAN 1400 E. BOULDER STREET COLORADO SPRINGS CO 80909-5533 800-645-3055 1417042672 DONATO-DUQUE WELDA 5300 KIDSPEACE DRIVE OREFIELD PA 18069-2044 610-799-7089 1225453715 DONGMO MEKONTCHOU JACQUELINE 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 UMASS MEMORIAL MEDICAL 1447891619 DONLON RILEY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1437380284 DONNER LEE 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 UMASS MEMORIAL MEDICAL 1699190827 DONOHOE DEVIN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1134194046 DONOVAN LESLIE 159 WEST PUTNAM AVENUE GREENWICH CT 06830-5329 203-869-7080 1962990291 DOODY CAITLIN 944 DANBURY ROAD WILTON CT 06897-0409 203-544-0005
HUSKY Health Connecticut Page 17 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1396723151 DORAN DOUGLAS 14 EAST HAMPTON ROAD MARLBOROUGH CT 06447-1467 860-295-9536 1871575936 DORFMAN DAVID 1 BOSTON MEDICAL CENTER PLACE BOSTON MA 02118-2335 617-414-5405 1053405043 DORSEY MICHAEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-334-3278 1164081667 DORVAL JOHN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1245639871 DOS SANTOS ROBYN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1285220012 DOUCETTE BRIAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1689122129 DOUGLAS SEAN 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2726 1033443692 DOUGLAS MATTY HOLLY 23 WAUREGAN RD BROOKLYN CT 06234-1924 860-774-0876 1699182535 DOWELL ERICA 223 E 34TH ST NEW YORK NY 10016-4852 646-501-3224 1346229606 DOWNEY ROBERT 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1881860310 DOYLE MICHAEL 6 THORNDAL CIR 102 DARIEN CT 06820-5014 203-324-4747 1891132924 DRAKE JONATHAN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6440 1912212358 DRAPER DONNA 72 NORTH ST SUITE 103 DANBURY CT 06810-5628 203-748-1200 1205912235 DREISBACH VICTORIA 1000 SILVER STREET MIDDLETOWN CT 06457-7023 860-262-5000 1629043625 DRENNAN PETER 701 ENFIELD STREET 701 ENFIELD STREET ENFIELD CT 06082-2961 186-074-1605 1811028731 DREW JOHN 256 BOSTON POST ROAD WATERFORD CT 06385-2054 860-443-0861 1558532747 DREW SHANNON 291 WHITNEY AVE SUITE 303 NEW HAVEN CT 06511-3724 203-624-0570 1578876876 DRILON ALEXANDER 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1295826147 DROST PAUL 950 CAMPBELL AVE WEST HAVEN CT 06516-2770 203-932-5711 1073975942 DROUET JENNIFER 234 E149TH STREET SUITE 207 BRONX NY 10451-5504 718-924-2329 1154417293 DRUGGE RHETT 50 GLENBROOK ROAD UNIT 1C STAMFORD CT 06902-2914 203-324-5719 1063545051 DRYSGULA JR EDWARD 775 WASHINGTON STREET MIDDLETOWN CT 06457-2903 860-347-6100 1992054456 DU DEBORAH 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1275035388 DUFFANY BROOKE 1 BLACHLEY ROAD STAMFORD CT 06902-0001 212-774-7598 1326087677 DUFFY CHRISTINE 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-7272 1578533923 DUFFY DONNA 361 MAIN STREET MANCHESTER CT 06040-4127 860-646-9929 1912905621 DUFFY JR MD PATRICK 166 WATERBURY ROAD, SUITE 301 PROSPECT CT 06712-1246 203-758-3163 1174782650 DUGGAN MICHELLE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1295803518 DUNN NORMA 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2323 1568064475 DUPUIS JARED 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1457649063 DURAZZO TYLER 4 CORPORATE DR. SUITE 386 SHELTON CT 06484-6211 203-538-5682 1033163209 DURKIN DEBORA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1649291980 DWENGER RANDALL 3 BROOK STREET BOX 718 LAKEVILLE CT 06039-0718 860-435-8863 1407165780 DWIRA KOBINA 75 SEMINARY HILL RD. CARMEL NY 10512-1921 845-225-3400 1013493451 DWYER ELIZABETH 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-856-4161 1104463637 DZIEWIETIN IAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1003965237 EAGAN MICHAEL 530 NEW BRUNSWICK AVE PERTH AMBOY NJ 08861-3654 800-645-3055 1013154509 EATON MAURITA 2876 MAIN STREET STRATFORD CT 06614-4984 203-696-6125 1942732821 EBAUGH JAMES 230 S FRONTAGE RD YALE CHILD STUDY CENTER NEW HAVEN CT 06519-1124 203-848-5599 1174500052 ECHANIQUE CAMILO 950 CAMPBELL AVENUE WEST HAVEN CT 06516-2770 203-932-5711 1083663058 ECKENRODE DELORETTA 67 SANDPIT ROAD SUITE 308 DANBURY CT 06810-4032 203-743-7246 1932465333 ECKROTH DANIEL 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1063583466 EDDY BRIAN 1224 FARMINGTON AVE WEST HARTFORD CT 06107-2668 860-313-0947 1396377545 EDDY MICHAEL 2 MEDICAL CENTER DRIVE SUITE 308 SPRINGFIELD MA 01107-1270 413-794-7020 1851350524 EDELGLASS JOHN 1 BRADLEY ROAD WOODBRIDGE CT 06525-2296 203-389-1185 HUSKY Health Connecticut Page 18 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1902956121 EDELMANN CHRISTOPHER 42 SHERWOOD PL GREENWICH CT 06830-5638 203-869-0502 1215943147 EDENS ELLEN 950 CAMPBELL AVE. WEST HAVEN CT 06516-2770 203-932-5711 1689638751 EDWARDS CHRISTINE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-334-8152 1013973486 EDWARDS MARILEE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-793-6348 1518042092 EGAN KENNETH 901 ETHAN ALLEN HWY RIDGEFIELD CT 06877-2834 203-438-4111 1073874509 EGAN PAMELA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5435 1619234341 EGOLF AMY 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE RI 02915-5061 401-432-1000 1205898806 EGSIEKER ERIK 10123 SE MARKET PORTLAND OR 97216-2532 800-633-2243 1376925545 EIDMAN DANIEL 20 YORK ST YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1215363114 EIDT PEARSON LAUREN 151 WORCESTER ROAD BARRE MA 01005-9002 978-355-6321 1477591097 EIN ALSHAEBA SAMER 95 SCOVILL ST VA CLINIC, SECOND FLOOR WATERBURY CT 06706-1113 203-465-5292 1134210289 EINBINDER ROSLYN 60 TEMPLE STREET SUITE 4E NEW HAVEN CT 06510-2716 203-562-4088 1518261486 EKBOTE RADHA 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1316424625 EKOKOTU ENOH 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1235201856 EL TAMER MAHMOUD 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1952308827 EL-MOHANDES ALI 67 SANDPIT RD. STE. 308 DANBURY CT 06810-4032 410-329-1071 BRIDGEPORT CORRECTIONAL 1700836012 ELDERKIN JAMES 1106 NORTH AVENUE BRIDGEPORT CT 06604-2710 475-225-8071 CENTER 1295357986 ELKIN SARAH 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1548248115 ENCARNACION KEVIN 13681 DOCTORS WAY FORT MYERS FL 33912-4309 800-645-3055 1336611656 ENGEL MICAH 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1730703208 ENGLAND SOPHIE 3300 MAIN STREET SPRINGFIELD MA 01107-1112 413-794-5600 1467485987 ENLOW THOMAS 601 CHILDRENS LANE NORFOLK VA 23507-1910 800-645-3055 1063733079 ERNDT STACY 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1568485324 ERNST STEVEN 999 SAN BERNARDINO RD UPLAND CA 91786-4920 800-645-3055 1083769921 ERWICH LAWRENCE 420 S. MAIN ST. CHESHIRE CT 06410-2308 203-272-7044 1609142934 ESCHRICHT EMMA 5 PERRYRIDGE RD GREENWICH HOSPITAL GREENWICH CT 06830-4608 203-863-3000 1083093256 ESIOBU NKEMKA 34 PARK STREET NEW HAVEN CT 06519-1109 203-974-7072 1649310541 ESPOSITO ROBERT 636 DEL PRADO BLVD CAPE CORAL FL 33990-2695 800-645-3055 1831572239 ESTIS NICHOLAS 1 HOSPITAL PLAZA STAMFORD HOSPITAL STAMFORD CT 06902-3602 646-797-8471 1487740650 EVANS BRIAN 60 WASHINGTON AVENUE SUITE 207 HAMDEN CT 06518-2601 203-288-5916 1467948349 EVANS MONICA 759 CHESTNUT STREET W2810 SPRINGFIELD MA 01107-1619 413-794-5370 1447570122 EVANS TARRA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5943 1821225558 EVENCHIK BENJAMIN 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2752 1073060430 EZEORU CHINWENDU 475 HIGH ST MYSTIC CT 06355-1707 954-835-2861 1073682969 FACTOR STEPHEN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1932164886 FAGIN JAMES 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1710952064 FAGUNDES LINDA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-334-8152 1417062357 FALES ROBERT 85 CHURCH ST MIDDLETOWN CT 06457-3647 860-344-8606 1063722353 FALK JOY 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-346-4133 1902905185 FALK KATHERINE 115 E 92 STREET NEW YORK NY 10128-1688 212-860-5370 1083910830 FAN LIQI 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1770601528 FANJOY HOLLY 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901-4526 800-645-3055 1952759524 FARAMARZI NEGAR 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1649481615 FARBER GREGORY 1060 DAY HILL ROAD WINDSOR CT 06095-5719 860-688-5595
HUSKY Health Connecticut Page 19 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1215025986 FARBER JOSHUA 950 CAMPBELL AVENUE WEST HAVEN CT 06516-2770 203-932-5711 1720165699 FAROOKI AZEEZ 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1427553064 FARRELL ALEXANDRA 1 BLACHLEY RD. STAMFORD CT 06902-0002 212-606-1996 1043785025 FARUQUE REZWANA 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1740367200 FAYNBLUT IRINA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1215130034 FEDEN JEFFREY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1144307414 FEINBERG DENNIS 2875 MAIN STREET STRATFORD CT 06614-4979 203-375-3411 1326019647 FEINSTEIN MARC 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1720050313 FEIT LLOYD 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-8984 1881186427 FELDER SARAH 1400 E. BOULDER STREET COLORADO SPRINGS CO 80909-5533 800-645-3055 1184647802 FELDMAN AILEEN 51 NORTH MAIN ST SUITE 1A SOUTHINGTON CT 06489-2515 860-628-9121 1750552055 FELDMAN DARREN 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1649210170 FELDMAN STEVEN 1090 NEW LONDON AVE CRANSTON RI 02920-3035 617-645-0840 1649249715 FELIBRICO OLIVER 1945 STATE ROUTE 33 NEPTUNE NJ 07753-4859 800-645-3055 1649458290 FELIS DAVIES MARY JO 140 SHERMAN STREET 2ND FLOOR FAIRFIELD CT 06824-5849 203-255-2403 1225094220 FEMIA ROBERT 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1780743518 FERN STEVEN 5 PERRYRIDGE ROAD GREENWICH HOSPITAL GREENWICH CT 06830-4608 203-863-3006 1164837936 FERNANDES DENISE 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-4489 1124467394 FERNANDEZ JUAN 601 E ROLLINS STREET ORLANDO FL 32803-1248 623-241-8350 1134500093 FERNANDEZ OLIVERO GERARDO 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1417101734 FERRANTE CATHERINE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1790983708 FERRARO JENNIFER 2601 OCEAN PARKWAY BROOKLYN NY 11235-7745 718-924-2329 1811966435 FETTEN JAMES 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1578906624 FIELD JOHN 4725 N FEDERAL HWY FORT LAUDERDALE FL 33308-4603 800-645-3055 1174525125 FIELDING KRISTIN 50 MEMORIAL BOULEVARD NEWPORT RI 02840-3636 401-606-4510 1821658022 FIELDING NICHOLAS 115 WEST SILVER STREET WESTFIELD MA 01085-3628 413-568-2811 1962586248 FIELDS DOUGLAS 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1467589580 FIGUEROA AWILDA 183 BOSTON POST RD WEST HAVEN CT 06516-2026 203-877-0112 1972713535 FILBERT ELIZABETH 1389 WEST MAIN ST SUITE 208 WATERBURY CT 06708-3115 203-757-1287 1407233216 FILLER LEVI 2601 E ROOSEVELT ST PHOENIX AZ 85008-4973 800-645-3055 1831159367 FILOR CAROLINE 159 WEST PUTNAM AVENUE GREENWICH CT 06830-5329 203-869-7080 1437310869 FINCH JUSTIN UCONN MEDICAL GROUP 21 SOUTH ROAD FARMINGTON CT 06032-0001 860-679-3692 1326616335 FINCH PA LEAH 761 MAIN AVE SUITE 102 NORWALK CT 06851-0500 860-282-4128 1932361698 FINN ARKADIY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1164501763 FINNEGAN SARAH 555 WILLARD AVENUE NEWINGTON CT 06111-2631 860-666-6951 1265692149 FINNEGAN DMD RYAN 134 MONTOWESE STREET BRANFORD DENTAL CARE BRANFORD CT 06405-3481 203-488-7444 1518907088 FIORITO MICHAEL 3401 N BROAD STREET PHILADELPHIA PA 19140-5103 215-707-5303 1629295001 FIRTH JACQUELINE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1770671224 FISCHBEIN ELLEN 355 HIGHLAND AVE SUITE 101 CHESHIRE CT 06410-2551 203-272-1208 1467613224 FISCHER DAISY 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2726 1710943444 FISCHER JANET 201 W MAIN ST NIANTIC CT 06357-3777 860-451-3001 1770502262 FISH STEPHANIE 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1932100666 FISH THOMAS 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-793-6348 1225108673 FISHKIN IGOR 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1427092329 FITZGERALD GEOFFREY 250 PLEASANT STREET EMERGENCY DEPT CONCORD NH 03301-7539 951-430-1497 HUSKY Health Connecticut Page 20 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1760444145 FITZPATRICK TIMOTHY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1730158957 FLAMMER MARK 3460 SOUTH PIONEER PARKWAY WEST VALLEY CITY UT 84120-2049 385-695-1914 1679845648 FLANAGAN MAUREEN 51 TOMS ROAD STAMFORD CT 06906-2152 203-977-4977 1629048616 FLANIGAN ALAN 100 MCGREGOR STREET MANCHESTER NH 03102-3730 603-580-6539 1063988632 FLAVIN KERIANNE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 UMASS MEMORIAL MEDICAL 1699076927 FLEMING JENNIE 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-6206 GROUP 1205106382 FLORES JOSE 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1457758708 FLORES JUAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1336382787 FLORY JAMES 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1912063181 FLYNN CHERYL 2 WAKE ROBIN RD SUITE 202 LINCOLN RI 02865-4241 401-333-1656 1134172265 FLYNN JENNIFER THE LOOMIS CHAFFEE SCHOOL 4 BACHELDER RD WINDSOR CT 06095-0705 860-687-6325 1891243861 FLYNN JOSEPH 593 EDDY STREET PROVIDENCE RI 02903-4923 401-793-9167 1992767354 FLYNN RICHARD 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1962503854 FOLLETT JULIE 1268 MAIN ST SUITE 101 NEWINGTON CT 06111-3038 860-665-0039 1427025105 FOMITCHEV OLEG 350 BOULEVARD PASSAIC NJ 07055-2840 918-203-0114 1093120263 FONDELL ANDREW 282 WASHINGTON ST HARTFORD CT 06106-3322 860-545-5000 1689635344 FORCIER MICHELLE 593 EDDY ST PROVIDENCE RI 02903-4923 401-444-6195 1083648125 FOREST LEE 2184 MAIN STREET STRATFORD CT 06615-5937 203-378-9002 1538322946 FOREST RHONDA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1275903270 FORTE CAROLYN 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 908-816-5796 UMASS MEMORIAL MEDICAL 1326012345 FORTIER NATASHA 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-8515 GROUP 1396730610 FORTIER RENA 30 SHELBURN RD STAMFORD CT 06902-9314 203-276-7058 1356707186 FOSTER AASHA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1851516819 FOWLER RACHEL 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1003243148 FOX MICHELLE 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 401-626-6500 1750356648 FRANCIS GAETANE 159 WEST PUTNAM AVENUE GREENWICH CT 06830-5329 203-869-7080 1598914129 FRANCIS JASMINE 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1912282609 FRANCONERI JASON 95 SARGENT STREET ROUTE 9 BELCHERTOWN MA 01007-9881 413-323-7212 1174019509 FRANK RAQUEL 20 YORK STREET NEW HAVEN CT 06510-3220 203-688-9503 1477599140 FRASER-REID ANGELA 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1942413711 FRATARCANGELI KENNETH 2559 DIXWELL AVENUE HAMDEN CT 06514-1809 203-248-0072 1942531645 FREDERICKS ARLENE 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1538100870 FREEDMAN JEFFREY 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1326663568 FREIMAN CHRISTINA 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1689606832 FRENCH JACQUELINE 223 E 34TH ST NEW YORK NY 10016-4852 646-501-3224 1053798397 FRIEDLAND MARK 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1659412112 FRIEDLER ALAN 800 BOSTON POST RD SUITE 204 GUILFORD CT 06437-2770 203-245-7575 1841898384 FRIEDMAN CHLOE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-0605 1750361127 FRIEDMAN ROBERT 2601 OCEAN PARKWAY APT 601 BROOKLYN NY 11235-7745 718-924-2329 1285662577 FRIEDMAN STEVEN 909 49TH STREET BROOKLYN NY 11219-2923 914-962-8290 1346467602 FRIMEL SANDRA DAVISON HEALTH CENTER 327 HIGH STREET MIDDLETOWN CT 06459-3232 860-685-2470 1902463482 FRIMPONG JOANITA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-833-5359 1942215454 FROMME ERIK DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-6464
HUSKY Health Connecticut Page 21 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1982681425 FRY BRIAN 34 DALE ROAD SUITE 2018 AVON CT 06001-3659 860-677-0079 1902291693 FRYE RICHARD 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1841204997 FUCIGNA ROBERT 30 SHELBURNE RD STAMFORD CT 06904-9317 203-276-7058 1588976724 FULLER JOEL 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1952314320 FULTON PAUL 63 HARMONY HILL RD CHEPACHET RI 02814-1429 401-949-0690 1356862247 FULWEILER BERNADETTE 1600 ROCKLAND ROAD WILMINGTON DE 19803-3607 302-651-4548 1194934943 FUNE JIMMY 250 PLEASANT STREET CONCORD NH 03301-2598 603-227-7000 1801038021 FUNKENSTEIN AMY 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE RI 02915-5061 401-432-1000 1477973378 FUREY KATRINA 300 GEORGE STREET YALE PSYCHIATRY SUITE 901 NEW HAVEN CT 06511-0666 203-785-2095 1750362562 FURIE KAREN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-8795 1710450184 FUZAILOV ASA 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1306938634 GADE NANCY 436 DANBURY ROAD WILTON CT 06897-2023 203-210-7575 1548397920 GAEV BENNETT 167 DWIGHT RD LONGMEADOW MA 01106-1769 413-567-5533 1912977075 GAINES JEFFREY 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-854-2504 1790880169 GAINES SARAH 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1134394109 GAINESCARDONE MD ELIZABETH 1290 SUMMER STREET SUITE 3600 STAMFORD CT 06905-5325 203-325-3576 1972545689 GALAN ELIZABETH 95 NEW LITCHFIELD ST TORRINGTON CT 06790-6107 860-482-6513 1104273747 GALDI VINCENT 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1720136898 GALECKI SUMMER 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 203-233-8034 1164908935 GALIONE JANINE 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE RI 02915-5061 401-432-1000 1710058318 GALLALEE JOHN 55 HARRISON AVE BRANFORD CT 06405-3607 203-488-0440 1598327934 GALLANT JORDYN 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1104288406 GALLEGO JOSEPH 300 GEORGE STREET YALE UNIVERSITY NEW HAVEN CT 06511-6663 203-785-2095 1023211653 GALLO CORNELIA 8 BARBARA PLACE WESTPORT CT 06880-1234 203-226-3134 1235431560 GALLO DENISE 2890 MAIN ST. SUITE C STRATFORD CT 06614-5711 203-386-1410 1801978622 GALLO JAMES 828 TOLL GATE RD WARWICK RI 02886-2721 401-615-3043 1902869902 GALLUZZO KATHLEEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1124132014 GALVEZ-PADILLA CHRISTIAN 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2000 1326395971 GANDARILLAS JESUS 897 WEST MAIN STREET DOVER FOXCROFT ME 04426-1029 800-645-3055 1689019101 GANESHAN SENTHILRAJ 333 CEDAR STREET YALE CARDIOVASCULAR MEDICINE NEW HAVEN CT 06520-8017 203-737-4026 1184656605 GANGADHARAN SIDHARTA 330BROOKLINE AVE BOSTON MA 02115-5400 617-632-8252 1306868138 GANLY IAN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1558320317 GANSERT GUY 10101 DOUBLE R BLVD RENO NV 89521-3149 385-695-1885 1093951790 GARAZI MICHELE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1194703637 GARBER JUDY 450 BROOKLINE AVENUE BOSTON MA 02215-5418 508-482-9600 1841415718 GARCIA RINA 1000 AVERY HEIGHTS HARTFORD CT 06106-1304 617-804-5981 1730143124 GARCIA AGUILAR JULIO 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1144298894 GARCIA MOLINER MARIA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5152 1952304263 GARDEN MITCHELL 622 BANTAM RD BANTAM CT 06750-0757 860-361-6650 1952364960 GARDNER DEBRA TORCHIA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1144263765 GARDNER GINGER 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1710469333 GARDNER ORAWAN 130 DIVISION ST DERBY CT 06418-1326 203-732-7550 1467526814 GARG RAJINDER 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1144357583 GARLAND JOSEPH 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2928 1962663351 GARNER AMY 5300 KIDSPEACE DRIVE OREFIELD PA 18069-2044 610-799-7089 HUSKY Health Connecticut Page 22 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1174559165 GARRETT AUDREY 55 NYE ROAD SUITE 102 GLASTONBURY CT 06033-1281 860-657-3056 1043409667 GARRETT LEILA 1 PERRYRIDGE ROAD GREENWICH CT 06830-4607 203-869-8353 1356781215 GARRICK BENJAMIN 2720 SUNSET BLVD WEST COLUMBIA SC 29169-4810 888-851-7590 1770670358 GARRO ARIS 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1538100532 GARTH DAVID 1001 SAM PERRY BLVD. FREDERICKSBURG VA 22401-4453 800-645-3055 1780825059 GASHI ELEONORA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1841458338 GASKELL ALEXIS 1 BARNARD LN STE 102 BLOOMFIELD CT 06002-2482 860-243-1889 UMASS MEMORIAL MEDICAL 1659557973 GAY SONTHONAX 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1073925988 GEARY MEGHAN 245 CHAPMAN STREET SUITE 300 PROVIDENCE RI 02905-4539 401-444-4741 1073627063 GEER ELIZA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1528321734 GEER WALTER 149 NORTH ST WATERVILLE ME 04901-4995 800-645-3055 1538282249 GEETTER DAVID 100 DEERFIELD RD WINDSOR CT 06095-4252 860-270-0600 1558346056 GEISSER DANIEL 55 LOCK ST NEW HAVEN CT 06511-3603 203-432-0076 1841379534 GELINAS JOHN 57 NORTH STREET SUITE 419 DANBURY CT 06810-5629 203-778-2020 1184666315 GENDREAU MARK 42 MALL ROAD BURLINGTON MA 01805-0001 508-482-9600 1487615217 GENGA BRUCE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1235369554 GENISCA ALICIA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1598727836 GENNARELLI LOUIS 16 GUION PL MONTEFIORE NEW ROCHELLE NEW ROCHELLE NY 10801-5502 914-365-3831 1245359009 GENOVA JEFF 38 B GROVE ST. RIDGEFIELD CT 06877-4665 203-438-0458 1104048016 GENTILE ANDREA 546 SOUTH BROAD ST 3B MERIDEN CT 06450-6601 203-237-7449 1669447058 GENTILE PETER 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-334-8152 1689749822 GENTILESCO BETHANY 164 SUMMIT AVENUE PROVIDENCE RI 02906-4541 401-793-2500 1891287207 GEORGADARELLIS ALEXANDRIA 20 YORK STREET NEW HAVEN CT 06510-3220 203-688-9503 1437126018 GEORGE SUZANNE 450 BROOKLINE AVENUE DANA-FARBER CANCER INSTITUTE BOSTON MA 02215-5418 617-632-5917 1801209952 GERDNER OSCAR 230 S. FRONTAGE RD. YALE CHILD STUDY CENTER NEW HAVEN CT 06519-1124 203-737-7129 1770535122 GESSLER CYNTHIA 169 MARTIN AVE EPHRATA PA 17522-1724 800-645-3055 1649235375 GETSON DAVID 144 STATE STREET PORTLAND ME 04101-3776 800-645-3055 1841221264 GETTLER SAMUEL 23 HOYT STREET, 2ND FLOOR STAMFORD CT 06905-5604 203-323-3376 1831394790 GETZEWICH KATHRYN 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1982882239 GHALY TAMER 1 LONG WHARF DRIVE SUITE 212 NEW HAVEN CT 06511-5942 203-624-4208 1619113446 GHANIZADEH HALEH 238 NEWTOWN TURNPIKE REDDING CT 33460-2415 203-664-1977 1134227663 GHODAKE SHASHI 595 MAIN STREET PORTLAND CT 06480-1156 860-342-4502 1205120664 GHUMMAN KAMRAN 701 GROVE ROAD GREENVILLE SC 29605-4210 864-454-8611 1033426200 GIAMMALVO BRITTANY 455 BOSTON POST ROAD, SUITE 10 OLD SAYBROOK CT 06475-1505 860-388-9799 1740218429 GIBBS DIANNA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1548284490 GIBBS FRANTZ 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1447411426 GIDDINGS JAMES 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1942432653 GILANI SABA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1336128347 GILBERT LAUREN 1600 ROCKLAND ROAD WILMINGTON DE 19803-3607 302-651-4548 1932122041 GILL AMARJIT 2601 OCEAN PARKWAY APT 601 BROOKLYN NY 11235-7745 718-924-2329 1912324203 GILL JAGDIP 254 EASTON AVENUE NEW BRUNSWICK NJ 08901-1766 800-645-3055 1851780233 GILL JESSICA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1023091949 GILLEN MALINI 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-8392 1699031740 GILLESPIE ERIN 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1194794768 GILMAN ROBERT 736 CAMBRIDGE STREET BRIGHTON MA 02135-2907 978-777-9998 1023039591 GILSON MICHAEL 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-606-1004 1437620317 GINGRAS ELIZABETH 281 LINCOLN STREET WORCESTER MA 01605-2138 508-334-5979 1205877446 GINSBURG REBECCA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1699896142 GIORDANO ROCCO 36 GRAND STREET FIRST FLOOR HARTFORD CT 06106-4608 860-826-4763 1407933948 GIROTRA MONICA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1164450300 GITLIN JORDAN 1999 MARCUS AVE STE M18 NEW HYDE PARK NY 11042-1023 914-962-8290 1518073386 GITTZUS JENNIFER 246 PLEASANT STREET SUITE 104 CONCORD NH 03301-2548 603-230-1939 1285919274 GIVEN SARAH 450 BROOKLINE AVENUE BOSTON MA 02215-5454 617-582-8353 1568522159 GLADSTEIN ERIC 70 VINE STREET NEW BRITAIN CT 06052-1431 860-223-1162 1750701801 GLASER JEFFREY 20 YORK ST DEPARTMENT OF SURGERY NEW HAVEN CT 06510-3220 203-688-9503 1194752089 GLASER LEONARD 360-3 NORTH MAIN STREET SOUTHINGTON CT 06489-2503 860-621-8361 1891945051 GLASS JASON DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-3000 1477611101 GLASSER STEVEN 73 NORTH WATER STREET GREENWICH CT 06830-5815 203-531-9354 1316382039 GLEASON ALEX 701 GROVE RD GREENVILLE SC 29605-4210 888-851-7590 1609163211 GLENN KELLIE 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-8152 1669581369 GLETZAKOS PETER 595 MAIN STREET PORTLAND CT 06480-1156 860-342-4502 1477504637 GLIEBERMAN OSCAR 108 GROVE STREET 2ND FLOOR WORCESTER MA 01605-2629 508-753-3220 1033524780 GLUCK LAUREN 6 DEVINE ST NORTH HAVEN CT 06473-3129 203-287-6100 1326300963 GODDARD LAUREN 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-1473 1730274093 GODIN DAVID 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1952378127 GODWIN LOYD 4 CORPORATE DRIVE SUITE 386 SHELTON CT 06484-6240 203-538-5682 1104893171 GOETZ JORDAN 555 WILLARD AVE VA CONNECTICUT HEALTHCARE NEWINGTON CT 06111-2631 860-666-6951 1598717035 GOKASLAN ZIYA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-793-9132 1174657936 GOKHAN SOLEN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1023342011 GOLD ANDREA 1011 VETERANS MEMORIAL PARKWAY RIVERSIDE RI 02915-5061 401-432-1000 1528223526 GOLD MENACHEM 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1275687758 GOLDBERG JONATHAN 4133 WHITNEY AVENUE HAMDEN CT 06518-1432 203-230-2265 1194948323 GOLDBERG JOSEPH 128 EAST AVENUE NORWALK CT 06851-5738 203-854-9607 1154413920 GOLDBERG RICHARD 46 WEST AVON RD. AVON CT 06001-3679 860-675-0262 1891889150 GOLDFRANK LEWIS 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1104821560 GOLDMAN BORIS 32 IMPERIAL AVENUE WESTPORT CT 06880-4328 203-840-0654 1992934434 GOLDNER DAVID 2776 CLEVELAND AVE FORT MYERS FL 33901-5864 800-645-3055 1356610638 GOLDSCHMIDT JEFFREY 6 PARK PLACE NEW BRITAIN CT 06052-1407 860-224-7751 1285642595 GOLDSTEIN LEON 141 DURHAM ROAD, SUITE 23 MADISON CT 06443-2658 203-245-0350 1902947484 GOLDSTEIN MARK 1 LONG WHARF DRIVE NEW HAVEN CT 06511-5991 203-538-5682 1891896700 GOLDSTEIN MD LAURENCE 85 SEYMOUR ST SUITE 1025 HARTFORD CT 06106-5530 860-527-8588 1477814119 GOLDWASSER BERNARD 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1124123559 GOLISANO GARRETT 172 MT. PLEASANT RD. NEWTOWN CT 06470-1443 203-426-0045 1518352459 GOLSHIRAZIAN CORINNE 281 EAST HARTFORD AVENUE UXBRIDGE MA 01569-1278 508-334-6173 1881191765 GOMEZ BERNAL FEDERICO 350 GEORGE STREET YALE CHILD STUDY CENTER NEW HAVEN CT 06511-6617 203-737-2514 1194977603 GONG ZHAODI 60 KATONA DRIVE SUITE 25 FAIRFIELD CT 06824-3544 203-557-3331 1558742312 GONZALEZ MARQUES CATALINA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-606-3000 1730125618 GORICH GEORGE 672 STONELEIGH AVE C-116 CARMEL NY 10512-4634 914-441-8504 1124309430 GORMAN AMANDA 8 HATTERS LANE FARMINGTON CT 06032-2331 917-567-5260 HUSKY Health Connecticut Page 24 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1194236869 GORTON CHERYL 701 ENFIELD STREET ENFIELD CT 06082-2961 860-741-6572 1689128548 GOTTIER ALEXANDRA 450 CLINTON STREET THUNDERMIST HEALTH CENTER WOONSOCKET RI 02895-3207 401-767-4100 1740405224 GOUDIE JAMES 133 OLD ROAD TO 9 ACRE CORNER CONCORD MA 01742-4159 508-482-9600 1891299103 GOUDREAU SHEA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1386249928 GOUDY LINDSEY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1609847565 GOULET MICHELLE 395 PLEASANT ST NORTHAMPTON MA 01060-3914 413-584-7787 1376758821 GOUNDER MRINAL 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 164-622-7376 1689805749 GOVOLA DIANA 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-560-6979 1164461364 GRAFF STEVEN 455 TOLL GATE ROAD WARWICK RI 02886-2759 401-273-0641 1922400712 GRAMUGLIA PATRICIA 400 CAPITAL BLVD ROCKY HILL CT 06067-2678 860-256-7866 1720093149 GRANDHI PREETHAM 84 HOSPITAL AVENUE DANBURY CT 06810-9001 203-792-0400 1164538419 GRANIERO RICHARD 4 SHAWS COVE NEW LONDON CT 06320-1234 860-437-3611 1538599568 GRATHWOHL KENDRA 1200 N BEAVER STREET FLAGSTAFF AZ 86001-3118 800-645-3055 1588007314 GRAUER AVERY 175 COPSE RD MADISON CT 06443-0646 203-245-2778 1568029585 GRAVES MOLLY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6556 1285644039 GRAY JENNIFER 455 BOSTON POST ROAD OLD SAYBROOK CT 06475-1505 860-388-9799 1881648434 GRAZIANO JENNY 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1932149887 GREEN ANDREW 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-490-1939 1790931814 GREENFIELD JEFFREY 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1114961703 GREGORY ANDREW 460 HARTFORD TPKE SUITE B VERNON CT 06066-5271 860-862-6229 1902924103 GREGORY TODD 160 ALLEN STREET RUTLAND VT 05701-4560 802-747-1633 1710908611 GREVE MARK 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1952373284 GRIFFO YVONA 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 164-622-7376 1093966954 GRILLS NORA ANN 200 SANDY HOLLOW ROAD MYSTIC CT 06355-1720 860-536-4916 1417376344 GRIMM NATHAN 263 FARMINGTON AVE FARMINGTON CT 06030-4037 860-679-6645 1407025604 GRIMM NAUSHEEN 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1174556930 GRIN MICHAEL 16 E 40TH ST FL 9 NEW YORK NY 10016-0113 646-736-3110 1093332025 GROGAN JAMES 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1316973134 GRONER MICHAEL 55 LOCK ST NEW HAVEN CT 06511-1111 203-432-0290 1548680622 GROOMS KYLE 195 EASTERN BLVD SUITE 200 GLASTONBURY CT 06033-1208 860-781-6294 1679641245 GRUBER PETER 1400 PELHAM PKWY S ROOM BS35 BRONX NY 10461-3118 718-918-3043 1174531172 GUARDINO PAUL 501 FARMINGTON AVENUE FARMINGTON CT 06032-1901 860-674-4334 1205873130 GUELFGUAT MARK 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1578704789 GUERRERA ANGELO 2979 MADISON AVENUE BRIDGEPORT CT 06606-2060 203-372-7700 1982082657 GUERRERO BREADY ALMA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1346471521 GUERTIN JENNIFER 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-8152 1730595828 GUERTIN MAGGIE 48 SANDERSON STREET GREENFIELD MA 01301-2778 413-773-2626 1639103955 GUGLIELMO THOMAS 131 KENT ROAD NEW MILFORD CT 06776-3485 203-702-6680 1538191911 GUGLIN CHARLES 88 NOBLE AVE SUITE 105 MILFORD CT 06460-3536 203-890-9777 1881661817 GUIDA MANON 622 HEBRON AVE SUITE 107 GLASTONBURY CT 06033-5007 860-657-3376 1770942302 GUILMET BRITTANY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1407118375 GULANI PERMINDER 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1093884850 GUNDUZ YILMAZ 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1952370595 GUNSHER SHARON 246 PLEASANT STREET SUITE 205 CONCORD NH 03301-2548 603-224-0584 1780817460 GUPTA MANOJ 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 HUSKY Health Connecticut Page 25 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1386025468 GUPTA NIKHIL 34 PARK STREET NEW HAVEN CT 06519-1109 203-974-7072 1174613178 GUTIERREZ ELVIRA 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1164538070 GUTMAN NED 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-1201 1366474892 GYURKOCZA BOGLARKA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1407904741 HABAL RANIA 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1619924651 HABR FADLALLAH 950 WARREN AVENUE 3RD FLOOR PROVIDENCE RI 02914-1432 401-606-4260 1306100086 HABTES IMNETT 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1578779740 HACKER DMD ROBERT 134 MONTOWESE STREET BRANFORD CT 06405-3888 203-488-7444 1558539957 HACKETT CHARLES 593 EDDY STREET GRADS DORM PROVIDENCE RI 02903-4923 401-444-4318 1740638881 HADI NEIMA 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1770890246 HAENSCH NANCY 181 WHITE STREET LITCHFIELD HALL DANBURY CT 06810-6826 203-837-8590 1033138383 HAGGAG PA_C AHMED 10 BIRDSEYE ROAD SUITE 260 FARMINGTON CT 06032-0500 860-282-4128 1659313708 HAGGARTY JOHN 206 SECOND ST EAST BRADENTON FL 34208-1042 702-473-8900 1407837503 HAIDAR AHMAD 130 HIGHLAND PKWY PICAYUNE MS 39466-5574 404-279-5456 1477793917 HAKIMI ABRAHAM 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1407918030 HALL HEATHER 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-4340 1790245553 HALL MATTHEW 455 TOLL GATE ROAD WARWICK RI 02886-2759 401-273-0641 1881999514 HALLEMAN CHRISTOPHER 201 1TH ST SW LARGO FL 33770-3133 888-851-7590 1093781908 HALPERN JOHN 336 BAKER AVENUE CONCORD MA 01775-2100 617-906-5063 1386084887 HAMEL CHERYL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-793-6348 1841429206 HAMILTON HEATHER 4 CORPORATE DR. SUITE 386 SHELTON CT 06484-6240 203-538-5682 1568835007 HAMLETT RACHEL 3300 MAIN ST 3RD FL, SUITE C & D SPRINGFIELD MA 01107-1112 413-794-5600 1649605460 HAMMAD FATMA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1275621104 HAMMERSTEDT HEATHER 351 SW 9TH STREET ONTARIO OR 97914-2639 800-645-3055 1932243870 HAMPTON WILLIAM 90 LONDONDERRY DRIVE GREENWICH CT 06830-3536 203-219-5500 1336124676 HAN YUNCHENG 850 STRAITS TURNPIKE, STE 203 MIDDLEBURY CT 06762-2843 203-758-2300 1578729596 HANASH ALAN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1528012747 HANDA SAJEEV 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-3985 1750602983 HANNA GLENN 450 BROOKLINE AVENUE LW-204 DANA FARBER CANCER INSTITUTE BOSTON MA 02215-5418 617-632-5917 1457446817 HANNA RAFIK 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1801844535 HANSBURY EILEEN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6195 1730445552 HANSEN DEREK 535 EAST 70TH STREET NEW YORK NY 10021-4823 212-774-7598 1356459242 HANSON BONNIE 164 HIGH STREET GREENFIELD MA 01301-2613 413-772-0211 1093116212 HAO FANG-YIN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1093748378 HARAPPANAHALLY GITA 335A PRAIRIE AVENUE PROVIDENCE RI 02905-4513 401-444-5685 1306003793 HARDING JAMES 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1558673269 HARDING KATHERINE 667 STONELEIGH AVE STE 202 CARMEL NY 10512-2455 845-279-5908 1528490018 HARKIN KATHERINE 55 LAKE AVENUE NORTH UMASS MEMORIAL WORCESTER MA 01655-0002 774-443-7552 1508184821 HARKNESS SARAH 101 PAGE STREET NEW BEDFORD MA 02740-3464 508-973-3584 1407199151 HARNETT ZACHARY 211 PARK STREET ATTLEBORO MA 02703-3143 508-236-8139 1720126386 HARRINGTON PHILIP 175 GRAND AVENUE NEW HAVEN CT 06513-3939 203-865-1668 1538577168 HARRIS JACQUELINE 759 CHESTNUT STREET 2ND FLOOR SPRINGFIELD MA 01107-1619 413-794-3233 1437702735 HARRIS LINDSEY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1588871875 HARRIS MARIEL 199 PARK ROAD EXTENSION SUITE 102 MIDDLEBURY CT 06762-1833 203-437-3121 1871947150 HARRIS MARY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 HUSKY Health Connecticut Page 26 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1861758864 HARRIS MICHAEL 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1831175520 HARRIS MICHELLE ONE GENERAL STREET LAWRENCE MA 01841-2961 978-683-4000 1073070801 HARRIS RACHEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6556 1093933681 HARRIS THELISSA 200 SEABURY DRIVE BLOOMFIELD CT 06002-2650 860-236-2320 1518461714 HARVANEK ZACHARY 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1841359080 HARVEY MARGARET 31 RIVER RD COS COB CT 06807-2152 203-863-2003 1851604847 HASAN MARIAM 2425 SAMARITAN DRIVE SAN JOSE CA 95124-3908 888-885-1759 1447370259 HASAN SYEDA 800 CROSS RIVER ROAD KATONAH NY 10536-3549 914-763-8151 1720154354 HASAPIS PETER 173 EAST AVE NEW CANAAN CT 06840-5614 203-972-4236 1225022973 HASBANI MOSHE 136 SHERMAN AVENUE SUITE 505 NEW HAVEN CT 06511-5235 203-562-8071 1255863189 HASHMI MARIYAM 282 WASHINGTON ST HARTFORD CT 06106-3322 860-545-9000 1629301916 HASSEN GETAW WORKU 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1255405387 HATIBOGLU FERDA 295 WASHINGTON AVE HAMDEN CT 06518-3025 203-248-2500 1649231879 HAUSER MARK 16 CONVERSE AVENUE NEWTON MA 02458-2504 617-969-6331 1982716049 HAY SEONAID 950 CAMPBELL AVENUE WEST HAVEN CT 06516-2770 866-808-7921 1063487718 HAYDEN DONNA MARIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-334-8152 1669516589 HAYDEN KAREN 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-444-6779 1154879674 HAYES ALLISON 84 HOSPITAL AVENUE DANBURY CT 06810-6047 203-792-0400 1235516451 HAYES DILLON 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1114124294 HAYWARD ALISON 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1033158159 HEADAPOHL MARC 1234 NAPIER AVENUE SAINT JOSEPH MI 49085-2112 800-645-3055 1700972528 HEALEY JENNY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-793-9167 1245844422 HEAP ELIZABETH 335 BILTON ROAD SOMERS CT 06071-0100 860-814-4743 1922191378 HEARD KENNON 1500 PARK CENTRAL DRIVE HIGHLANDS RANCH CO 80129-6687 800-645-3055 1245506450 HEBERLIE RENEE 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-8152 1871835876 HEDGECOCK JON 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-4763 1114906591 HEERDT ALEXANDRA 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1912332396 HEGG JAMES 925 FARMINGTON AVENUE KENSINGTON CT 06037-2295 860-828-0868 1457383267 HEIDERHOFF CLEMENS 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1740376706 HEINEMANN MURK 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1689967820 HEINLY ALLISON 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6484 1861443350 HELLINGER JEFFREY 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1497789929 HELLMAN CAROLYN 900 WEST CLAIREMONT AVE EAU CLAIRE WI 54701-6122 385-695-1951 1225243421 HELMING MARY 275 MT. CARMEL AVENUE QUINNIPIAC UNIVERSITY HAMDEN CT 06518-1905 203-582-3484 1154447712 HENRY JEANNE 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-444-6779 1083683593 HERBERT DANIEL 200 SOMERSET ST MILLINOCKET ME 04462-1258 623-241-8307 1457451551 HERBERT JOSHUA 5 HIGH RIDGE PARK SUITE 103 STAMFORD CT 06905-1328 203-276-2182 1437198702 HERBST ANDREW 148 EAST AVE SUITE 3B NORWALK CT 06851-1481 203-957-3535 1811285141 HERCULES FELICIA 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1003253063 HERMAN KARL 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1164598629 HERMSTAD ERIK 1024 S. LEMAY AVENUE FORT COLLINS CO 80524-3929 800-645-3055 1780066126 HERNANDEZ TEJADA KELVYN 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1780654780 HERSH STANLEY 1201 WEST MAIN STREET SUITE 100 WATERBURY CT 06708-3105 203-573-4803 1316977119 HESSION MELISSA 701 ENFIELD STREET ENFIELD MEDICAL ASSOC ENFIELD CT 06082-2961 860-741-6572 1063861516 HICKS ADRIENNE 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7300 HUSKY Health Connecticut Page 27 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1922402080 HICKSON EMILY 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1861944084 HIGGINBOTHAM THOMAS 1 HOSPITAL PLAZA STAMFORD HOSPITAL STAMFORD CT 06902-3602 646-797-8471 1023147428 HIGGINS DONALD 74 EAST MAIN STREET PLAINVILLE CT 06062-4903 860-793-9613 1366003865 HIGGINS KRISTEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1972117695 HIGGINS PATRICK 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1508969387 HIGGINSON MICHELLE 455 BOSTON POST ROAD OLD SAYBROOK CT 06475-1505 860-388-9799 1578723334 HILLS OSCAR 255 BRADLEY STREET NEW HAVEN CT 06510-1104 203-772-7912 1881866465 HINCHEY MYRIAH 27 MAIN STREET HEBRON CT 06248-1514 860-228-1287 1144671934 HINES IMAN 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1851514434 HIRSCH SCOTT 223 E 34TH ST NEW YORK NY 10016-4852 512-767-6140 1801279427 HIRSCHEGGER KARL 725 NORTH STREET PITTSFIELD MA 01201-4124 413-447-2752 1346625753 HITCHINS ADRIANNA 300 GEORGE ST SUITE 901 NEW HAVEN CT 06511-6624 203-785-2095 1710402987 HOBIN SUSAN 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-606-4503 1811382799 HOCHBERG CHAD 600 N WOLFE STREET BALTIMORE MD 21287-0005 623-582-2141 1346267333 HOFFERT KURT ONE ST. FRANCIS DR GREENVILLE SC 29601-3955 419-226-4343 1346239449 HOFFMAN ROBERT 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1194260984 HOGAN BRITTANY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-1000 1164837449 HOGAN KAREN 3300 MAIN STREET SPRINGFIELD MA 01107-1112 413-794-7394 1447380555 HOGAN-SOLTYS KATHLEEN 263 ALDEN ST. SPRINGFIELD MA 01109-3797 413-531-1113 PM PEDIATRICS OF CONNECTICUT 1659426435 HOGENCAMP TONI 1459A NEW BRITAIN WEST HARTFORD CT 06110-2306 516-207-7851 L 1538663778 HOKANSON JAMILA 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06510-3220 203-785-2095 1952718678 HOLDEN KENZI 2150 MAIN ST SPRINGFIELD MA 01104-3566 860-741-6572 1720380686 HOLDORF JENNIFER 2103 MAIN STREET STRATFORD CT 06615-7184 203-415-1476 1336370246 HOLLAND CRISTINA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1861586521 HOLLAND LEROY 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1700253655 HOLLE JAMES SEREF 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1386044931 HOLLOWITZ YASMIN 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 202-277-4628 FLETCHER ALLEN HEALTH CARE, 1174581516 HOLMES GREGORY 111 COLCHESTER AVENUE BURLINGTON VT 05401-1473 802-847-0000 IN 1710194246 HOLZER BARRY 103 WOOD LN WOODMERE NY 11598-2244 718-743-7600 1154670446 HONG JUNGRAK 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2323 1629043997 HOOD TARA 201 W MAIN ST NIANTIC CT 06357-1014 860-451-3068 1467482661 HOOS JEFFREY 4949 MAIN ST STRATFORD CT 06614-1613 203-378-9500 1225102387 HOPE SUSAN 61 SOUTH MAIN STREET #209 WEST HARTFORD CT 06107-2486 860-313-1352 1962646067 HORBAL TERRENCE 555 BRIDGEPORT AVE 2ND FLR SHELTON CT 06484-4749 203-913-9193 1639324080 HORN AMANDA 43 HIGH STREET WAREHAM MA 02571-2097 508-973-3584 1255336699 HOROWITZ ROBERT 994 KEMPTON STREET NEW BEDFORD MA 02740-3464 508-973-3584 1952407843 HORTON PAUL 321 RESEARCH PARKWAY SUITE 106 MERIDEN CT 06450-8341 203-235-2505 1508883588 HOSKINS DONNA 62 CARTER ROAD KENT CT 06757-0607 860-927-3772 1851542708 HOTCHKISS KAREN 1 TURKEY HILL ROAD SOUTH WESTPORT CT 06880-5525 203-240-3323 1013141167 HOTINSKY ALEXANDER 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1699154252 HOTTENSTEIN BRIDGET 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-4489 1013960582 HOUTCHENS JEANNE 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1952468969 HOWARD KATHERINE 500 ENTERPRISE DRIVE ROCKY HILL CT 06067-3913 615-224-5005
HUSKY Health Connecticut Page 28 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1083879548 HOWARD SONJA 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1821386632 HOWARD TAUREAN 82-68 164TH STREET SUITE 207 JAMAICA NY 11432-1121 718-924-2329 1508084377 HOY ERIK 455 TOLL GATE ROAD JOHNSON BUILDING WARWICK RI 02886-2791 401-273-0641 1720059769 HSU KATHARINE 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1093371981 HUANG MICHELLE 223 EAST 34TH STREET NEW YORK NY 10016-4852 646-558-0800 1932124450 HUANG RUSSEL 535 E. 70TH NEW YORK NY 10021-4823 646-797-8471 1306298401 HUGHES AMANDA 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1598105389 HUGHES HANNAH 1060 DAY HILL ROAD WINDSOR CT 06095-5719 860-688-5595 1730516147 HULL KATRINA 48 SANDERSON STREET GREENFIELD MA 01301-2778 413-773-2022 1568994523 HULLAND OLIVER 464 CONGRESS AVE SUITE #260 NEW HAVEN CT 06519-1361 203-737-2644 1548452550 HULTGREN AARON 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1508290677 HULTS CHRISTINA 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1245368513 HUNGERFORD MARYSUSAN 2420 MAIN STREET SUITE 3 STRATFORD CT 06615-1234 203-556-5223 1538111380 HUNT GREGORY 43 HIGH STREET WAREHAM MA 02571-2097 508-973-3584 1487903431 HUSKINS CHELSEA 20 WEST MAIN ST APT A-201 NORWALK CT 06851-8224 203-371-7838 1528294154 HUSSAIN ZILLA 950 WARREN AVENUE SUITE 301 EAST PROVIDENCE RI 02914-1432 401-606-4260 1225584667 HUSSAINI GRETA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1457863524 HUTCHENS JENNA 94 LOCUST AVENUE DANBURY CT 06810-5954 203-798-0500 1215941893 HWANG MICHAEL 800 CROSS RIVER ROAD KATONAH NY 10536-3549 914-763-8151 1225230444 HYDER SARAH 950 WARREN AVENUE 3RD FLOOR PROVIDENCE RI 02914-1432 401-606-4260 1902243843 HYLTON JORDAN 1250 EAST MARSHALL STREET RICHMOND VA 23298-5051 800-645-3055 1174757629 HYSON ANNE 950 CAMPBELL AVE 11-ACSL-1 WEST HAVEN CT 06516-2770 203-932-5711 1902300148 HYUN EMILY 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1356324354 HYVONEN SHELBY 3300 MAIN STREET 4TH FLOOR SPRINGFIELD MA 01107-1112 413-794-5555 1922557602 IANNOTTI KIMBERLY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5891 1205009198 IBANEZ KATARZYNA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1891133146 IGHILE OMOSEDE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1598944910 IGOE MICHELLE 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-502-9562 1134287246 IGTANLOC VICTORIA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1194831925 IJAZ AMBREEN 455 TOLL GATE ROAD WARWICK RI 02886-2759 401-921-7362 1972851327 ILOH NKIRUKA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1619463890 IM KATRINA 800 CROSS RIVER RD APT. 12C KATONAH NY 10536-3549 914-763-8151 1962705590 IMRAN HAFIZ 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-1473 UMASS MEMORIAL MEDICAL 1346632098 INGHRAM MARY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1578554952 INGLIS ALLAN 535 E. 70TH STREET NEW YORK NY 10021-4823 646-797-8471 1396946430 INGRAM JEREMY 2776 CLEVELAND AVE FORT MYERS FL 33901-5864 623-582-8324 1922518786 INNOCENT KIMBERLY 82-68 164TH STREET JAMAICA NY 11432-1121 718-924-2329 1245454115 ISRAELY ROBERT 26 IMPERIAL AVE WESTPORT CT 06880-4308 203-221-1001 1316386360 IUSCO ADRIAN 725 NORTH STREET PITTSFIELD MA 01201-4019 413-881-5427 1629394267 IVAN YARON 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1285898338 IYER SHARAT 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1326338013 IYER SRAVISHT 1 HOSPITAL PLAZA STAMFORD CT 06902-3602 203-276-7058 1689641276 JACOBS ALAN 120 EAST 56TH STREET SUITE 1040 NEW YORK NJ 10022-3628 212-888-0002 1649397068 JACOBS ALLAN 61 SOUTH MAIN STREET SUITE 305 WEST HARTFORD CT 06107-2403 860-561-1640
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1043271513 JACOBS SUZANNE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1336261379 JACOBSON CARON 450 BROOKLINE AVENUE BOSTON MA 02215-5418 617-632-4647 1336196716 JACOBSON JONATHAN 60 MILES RD DEVEREUX FOUNDATION RUTLAND MA 01543-0219 508-886-4746 1598807869 JACOBSON STUART 1862 COMMERCE DRIVE BRIDGEPORT CT 06605-2230 203-656-3900 1801440342 JAEGER ADRIENNE 555 WILLARD AVE NEWINGTON CT 06111-2615 866-808-7921 1447556154 JAHNES KATHERINE 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1467555342 JAKUBOWSKI ANN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1972753945 JAMES CECELIA 7 OLD SHERMAN TURNPIKE SUITE 102 DANBURY CT 06810-7174 203-947-5529 1538332036 JAMES EFIA 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1881798437 JAMES FRANK 52 BEACH ROAD STE 104 FAIRFIELD CT 06824-6017 203-254-2000 1326347576 JAMES SCOTT 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1003171075 JAMISON SARAH 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1841627577 JANCZAK HENRY 136 WEST MAIN STREET 2ND FLOOR NEW BRITAIN CT 06051-1315 860-826-4763 1972815249 JANDASEK BARBARA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5050 1942298591 JANWADKAR SHAKUNTA 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1699113480 JARAMILLO STEPHANIE 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1851373450 JARNAGIN WILLIAM 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1902810484 JARVIS JAMES 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901-4526 800-645-3055 1720185630 JASIMUDDIN SHEIKH 40100 HIGHWAY 27 DAVENPORT FL 33837-5909 800-645-3055 1598781791 JASINSKI PAC JOHN 761 MAIN AVE SUITE 102 NORWALK CT 06851-0001 203-810-4151 1104323195 JAVORSKI ANNA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1770631368 JAY BRYAN 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1891130597 JAZIRI KELLY 108 NEW LONDON TPKE. NORWICH CT 06360-2645 860-889-3052 1679685515 JEAN-GILLES YVES 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1689802803 JEDICK ROCKY 8280 W WARM SPRINGS ROAD LAS VEGAS NV 89113-3612 800-633-2243 1417965369 JEDRZYNSKI MICHAEL 118 MAIN ST SUITE 4 STURBRIDGE MA 01566-1533 508-347-4900 1720214398 JENKINS JENNIFER 489 STATE ST. BANGOR ME 04401-6616 800-645-3055 1467487074 JENKINS SALLY 250 PLEASANT STREET CONCORD NH 03301-2598 603-227-7000 1154731743 JENNINGS ERNESTINE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-793-9864 1023144771 JERABEK SETH 535 E. 70TH ST. NEW YORK NY 10021-4823 646-797-8471 1598110215 JERSEY CANDICE 282 WASHINGTON ST HARTFORD CT 06106-3322 860-545-9000 1174943369 JIMENEZ ANDREW 263 FARMINGTON AVE FARMINGTON CT 06030-4037 860-679-6645 1356847172 JIMENEZ HEIDI 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-4102 1083955868 JIMMIE KATHLEEN 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 225-573-1905 1124574918 JINDAL ATIN 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1962415158 JO TAMARA DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-5122 1487744348 JOBE KATHLEEN 325 9TH AVE SEATTLE WA 98104-2420 206-744-9888 1033790266 JOFFE MAEGAN 8 LINCOLN STREET WESTPORT CT 06880-4201 203-916-4600 1225170640 JOHN BRIAN 1 HOSPITAL PLAZA STAMFORD HOSPITAL STAMFORD CT 06902-3602 646-797-8471 1346286788 JOHNS MARTIN 15 AIKEN AVENUE FRANKLIN NH 03235-1259 603-524-3211 1811147598 JOHNSON LARRY 25A GREEN HOLLOW ROAD DANIELSON CT 06239-3509 860-779-0374 1518184019 JOHNSON SANDRA 82-68 164TH STREET JAMAICA NY 11432-1121 718-924-2329 1306909601 JOHNSTON LISABETH 361 PARK ROAD WEST HARTFORD CT 06119-1644 860-523-1101 1073957288 JOHNSTON MARY 1750 E KEN PRATT BLVD LONGMONT CO 80504-5311 800-645-3055 1306811690 JOLLEY LINDSEY 281 LINCOLN STREET WORCESTER MA 01605-2138 508-334-6173 HUSKY Health Connecticut Page 30 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1427061779 JONAS BRIDGETTE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1609214980 JONES DREW 601 E. ROLLIN STREET ORLANDO FL 32803-1248 800-645-3055 1932352051 JONES GAIL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1548450257 JONES KAREN 836 FARMINGTON AVENUE SUITE 229A WEST HARTFORD CT 06119-1505 860-463-2253 1386693158 JONES THOMAS 5 RICHLAND MEDICAL PARK COLUMBIA SC 29206-6897 864-797-6037 1780819144 JONGELING AMY 223 E 34TH ST NEW YORK NY 10016-4852 512-767-6140 1396090965 JORDAN LISA 313 BLOOMFIELD AVE WINDSOR CT 06095-2713 860-688-2679 1346209640 JORDAN RACHEL 250 PLEASANT STREET EMERGENCY DEPT CONCORD NH 03301-7539 951-430-1497 1285101840 JOSEPH ANDREW 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1346256427 JOSEPH JEFFREY 100 MCGREGOR STREET MANCHESTER NH 03102-3730 603-580-6339 1528230463 JOSEPH JOBY 1761 WEST BROAD STREET LEGACY FAMILY DENTAL, PLLC STRATFORD CT 06615-5752 203-375-3763 1023437845 JOSEPH OLIVER 455 SOUTH ST STETSON SCHOOL BARRE MA 01005-1005 978-355-4541 1932692704 JOSEPH PRIYA 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1851738983 JOSEPH SARAH 447 N. MAIN ST. PITTSFIELD ME 04967-3707 800-645-3055 1235661984 JOSEPH SHAWN 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-2147 1437222411 JOSEPHSON ELAINE 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1780601591 JOSIMOVICH PETER 1234 NAPIER AVENUE SAINT JOSEPH MI 49085-2112 800-645-3055 1760450886 JOSLIN ELIZABETH 915 RIVER ROAD C-25 MIDDLETOWN CT 06457-3921 860-704-4045 1164818357 JOY MELISSA 200 RETREAT ST HARTFORD CT 06102-3101 860-696-0028 1194979674 JOYAL THERESA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-614-0048 1558616607 JOYCE JOHN 1250 EAST MARSHALL STREET RICHMOND VA 23298-5051 800-645-3055 1982602868 JOYCE MICHAEL 84 GLASTONBURY BLVD SUITE 101 GLASTONBURY CT 06033-4468 860-652-8883 1720442437 JU SHIRLEY 20 YORK STREET YNHH NEUROLOGY NEW HAVEN CT 06510-3220 203-785-4085 1003802547 JUANG GEORGE 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1013998483 JULIAN JOHN 175 NORTH BEACON STREET WATERTOWN MA 02472-2751 617-312-2699 1245204973 JULIEN LESLIE 82-68 164TH STREET SUITE 207 JAMAICA NY 11432-1121 718-924-2329 1871519215 JUNEJA TONY 1215 ROUTE 70 SUITE 2001 LAKEWOOD NJ 08701-7023 732-942-5056 1942711858 JUNGER LUKASZ 187 S CANAAN RD CANAAN CT 06018-2544 860-833-6464 1215910922 JURZYK RONALD 464 WOLCOTT ROAD WOLCOTT CT 06716-2626 203-879-6171 1710080387 KABAKOFF SETH 928 FARMINGTON AVENUE WEST HARTFORD CT 06107-1929 860-233-2322 1518044825 KABAN JODY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1598714701 KACKIELO HANNA 1 TOWNE PARK PLAZA NORWICH CT 06360-2259 317-805-1041 1104073220 KACZANOWSKI KRISTEN 647 CLINTON AVE BRIDGEPORT CT 06605-1711 203-335-7260 1588003339 KADLEC MARY BETH 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1699965871 KAFFMAN ARIE 555 WILLARD AVE VA-MHC NEWINGTON CT 06111-2600 860-666-6951 1104849421 KAGANOWICZ PETER 234 E149TH STREET 140 BRONX NY 10451-5504 718-924-2329 1427043538 KAGE BARBARA 361 MAIN STREET MANCHESTER CT 06040-4127 860-646-9929 1902891013 KAGE REINHARD 361 MAIN STREET MANCHESTER CT 06040-4127 860-646-9929 1588838155 KAINKARYAM VASANTH 136 COMMERCE WAY SOUTH WINDSOR CT 06074-1155 860-469-5646 1457742934 KAISI MUSTAFA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1144489048 KAKKAR AMIT 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1396912903 KAKUMANU SANGEETA 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1225164320 KALE MILIND 140 GLASTONBURY BLVD. STE 30 GLASTONBURY CT 06033-3920 860-670-2195 1366413304 KALIN MARCIA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1225115645 KALMAN ARLENE 54 ARROWHEAD ROAD BROOKFIELD CT 06804-1532 203-775-6100 HUSKY Health Connecticut Page 31 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1598292815 KANG EDWIN 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1952395568 KAPLAN JEFFREY 4699 MAIN STREET SUITE 106 BRIDGEPORT CT 06606-1830 203-374-8182 1154359834 KAPLAN RANA 1275 YORK AVE NEW YORK NY 10065-6007 623-582-2141 1821145194 KAPOOR RAMNATH 234 EAST 149TH STREET LINCOLN HOSPITAL BRONX NY 10451-5504 718-579-6200 1609034743 KAPOOR RAVI 82-68 164TH STREET 140 JAMAICA NY 11432-1121 718-924-2329 1013983691 KARACSONYI EVA 2150 MAIN STREET SPRINGFIELD MA 01104-3300 860-741-6572 1659660132 KARIM NAZ 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6125 1124059134 KARIMI-PASHAKI MOHAMMAD 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1184937922 KARKI KABITA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1700894177 KARLIN ROGER 88 STATE ROUTE 37 NEW FAIRFIELD CT 06812-5036 203-746-2436 1356343099 KAROSAS LAIMA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 203-435-5359 1578738787 KARPENOS ILANA CENTER FOR DISCOVERY 1320 MILL HILL RD SOUTHPORT CT 06890-1234 203-955-1381 1528188034 KARTHIKEYAN JEYAVARNA 4725 N FEDERAL HWY FORT LAUDERDALE FL 33308-4603 800-645-3055 1699309104 KASAL ILANA 115 WEST SILVER STREET WESTFIELD MA 01085-3628 413-568-2811 1710085741 KASHAF SUSAN 950 CAMPBELL AVE 11ACSL-B WEST HAVEN CT 06516-2770 866-808-7921 1437613403 KASHMANIAN ALEXANDRA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1689782401 KASSARIS CHRIS 1881 POST RD FAIRFIELD CT 06824-5721 203-255-1036 1023117512 KATIS JAMES 145 OLD MILL ROAD GREENWICH CT 06831-3015 203-622-1213 1326147257 KATTNER MARIA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 UMASS MEMORIAL MEDICAL 1174762165 KATZ ADAM 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-0042 GROUP 1205931805 KATZ ROBERT 270 BURNSIDE AVE EAST HARTFORD CT 06108-2315 860-289-9558 1679502140 KATZ STEVEN 664 PROSPECT AVENUE HARTFORD CT 06105-4203 860-231-2850 1134216732 KATZ THEODORE 157 GOOSE LANE GUILFORD CT 06437-2100 203-453-4475 1144393729 KATZ VALERIE 234 E149TH STREET 140 BRONX NY 10451-5504 718-924-2329 1003839218 KATZMAN GARY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-444-5891 1154676609 KATZMAN JENNA 21 E 4TH STREET, 7 FL NEW YORK NY 10003-7012 302-313-1584 1598787855 KATZOFF NORMAN 87 SLATER AVENUE JEWETT CITY CT 06351-2408 860-376-2624 1780048629 KAVA LAUREN 234 EAST 149TH STREET ROOM 8D-200 BRONX NY 10451-5504 718-579-5006 1083811525 KAWELO ROXANNE 1319 PUNAHOU ST HONOLULU HI 96826-1001 800-645-3055 1427387646 KAY LINDA 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1114456365 KAYSER MICHELLE 333 CEDAR ST. PEDIATRIC ENDOCRINOLOGY NEW HAVEN CT 06520-8020 203-785-4279 1306286463 KAZMI FARAZ 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-588-4390 1225582117 KAZMI SYED 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1821447053 KEAN JANINA 1031 FARMINGTON AVEN;UE FARMINGTON CT 06032-1576 860-677-2550 1356601306 KEARNEY ALEXIS 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-444-6125 1356533921 KEARNEY JULIA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1508985672 KEARNS CHRISTOPHER 4 WATER STREET CHESTER CT 06412-1238 860-526-4921 1295756765 KEATING EDWARD 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5891 1558390856 KEATING PAUL 196 DANBURY ROAD WILTON CT 06897-4150 203-762-5048 1841245693 KEEDY NATHAN 100 CENTURY DRIVE WORCESTER MA 01606-1244 508-762-5400 1508295262 KEISE COLLETE 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-798-5446 1265808034 KELE MATTHEW 3300 MAIN STREET 3RD FLOOR, SUITE C&D SPRINGFIELD MA 01107-1112 413-794-5600 1740278589 KELLEHER DANIEL 72 NORTH STREET, STE 300 DANBURY CT 06810-5653 203-616-5234 1962489245 KELLEY STEVEN 607 BEAMAN STREET CLINTON NC 28328-2603 480-977-3271
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1568545630 KELLY CARRIE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6195 1518995992 KELLY COLLEEN 593 EDDY STREET PROVIDENCE RI 02905-4923 401-444-6779 1124392352 KELLY SARENA 3203 MAIN STREET BRIDGEPORT CT 06606-4225 203-371-0009 1801867841 KEMENY NANCY 1275 YORK AVE MEMORIAL SOLID TUMOR GROUP NEW YORK NY 10065-6007 646-227-3742 1689024648 KEMMLER CHARLES 729 SE MAIN ST SIMPSONVILLE SC 29681-3218 864-454-8611 1811420136 KENNEDY ASHLEY 759 CHESTNUT STREET S3677 SPRINGFIELD MA 01107-1619 413-794-5161 1851746135 KENNEDY ELIJAH 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1841285384 KENNEY LESLIE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5891 1649581133 KERNIZAN SORAYA 82-68 164TH STREET JAMAICA NY 11432-1121 718-924-2329 1578521423 KERR CHRISTINE 21 E 4TH STREET, 7 FL NEW YORK NY 10003-7012 302-313-1584 1306881123 KERSTING JOHN 1 PLEASANT ST MIDDLEBORO MA 02346-1101 508-947-7825 1487641411 KERZER DAVID 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1558416404 KESSELMAN DAVID 326 NICHOLS ROAD HEALTHALLIANCE FITCHBURG FITCHBURG MA 01420-1914 508-334-6173 1679500086 KESSLER FRANK 3423 DANBURY ROAD BREWSTER NY 10509-4513 845-279-7200 1720405194 KESSLER MATTHEW 3423 DANBURY RD BREWSTER NY 10509-4513 845-279-7200 1710395652 KEVILLE TRICIA 80 HIGHLAND AVENUE LACONIA NH 03246-3235 603-524-3211 1538180427 KHAGHAN NEDA 15 VALLEY DRIVE 3RD FLOOR GREENWICH CT 06831-5205 203-489-6900 1437333481 KHAIT EUGENE 2601 OCEAN PARKWAY APT 3G BROOKLYN NY 11235-7745 718-924-2329 1942473269 KHAMIS KHAMIS 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1376955088 KHAN AYESHA 65 SANDPIT RD. STE. 308 DANBURY CT 06810-4032 203-743-7264 1891170825 KHAN MOHAMMAD SAUD 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-4489 1780608836 KHANNA ASHOK 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1174767131 KHANNA RAJAN 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1932291507 KHASNAVIS SHUCHITA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1477048965 KIEFER MICHAEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1508202342 KILBRIDE JESSICA 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1164819116 KILCH JOSEPH 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-3985 1376710665 KIM HAN JO 535 E. 70TH ST NEW YORK NY 10021-4823 646-797-8471 1093205676 KIM HONG 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1427445485 KIM HYUN HEE 20 YORK ST YALE CHILD STUDY CENTER NEW HAVEN CT 06510-3220 414-736-0406 1477742062 KIM JAE 889 BRIDGEPORT AVENUE MILFORD CT 06460-3139 203-783-9899 1760568000 KIM JOHN 147 EAST CENTER STREET MANCHESTER CT 06040-5242 860-643-9506 1669826798 KIM KEVIN 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-2147 1871989053 KIM ROBIN 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1508197591 KIM SEYUN 1 BROOKDALE PLZ BROOKLYN NY 11212-3139 800-645-3055 1356379663 KIM UNG 234 E149TH STREET SUITE 207 BRONX NY 10451-5504 718-924-2329 1881936037 KIM YEUNJUNG 20 YORK STREET YNHH CARDIOLOGY NEW HAVEN CT 06510-3220 203-688-9503 1487602017 KIM MD HANNA 761 MAIN AVE SUITE 102 NORWALK CT 06851-0001 860-282-4128 1942318209 KIM MD SANG 761 MAIN AVE SUITE 102 NORWALK CT 06851-0001 860-282-4128 1366998478 KIMANI SAMMY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1265415764 KINCHEN ERNEST 2601 OCEAN PARKWAY BROOKLYN NY 11235-2118 718-924-2329 1114472123 KING SUSAN 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-798-7413 1447448477 KING APRN MARJORIE 1320 WEST MAIN STREET BLDG 2 WATERBURY CT 06708 860-282-4128 1790944114 KINGHAM T 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1699794404 KINGSLEY STEPHEN 57 NORTH STREET SUITE 422 DANBURY CT 06810-5629 203-790-0777 HUSKY Health Connecticut Page 33 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1740686369 KIRK ROBERT 1000 WHITE HORSE ROAD STE 802 VOORHEES NJ 08043-4414 856-324-3242 1942311915 KIRZHNER IGOR 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1003961046 KLAGSBRUN SARAH 800 CROSS RIVER ROAD KATONAH NY 10536-0800 914-763-8151 1386608529 KLAHR DAVID 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2323 1528583267 KLAUER JESSIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1407141724 KLAUS CHRISTOPHER 1 RIVER STREET THUNDERMIST HEALTH CENTER WAKEFIELD RI 02879-3214 401-767-4100 1609861681 KLEIN SCOTT 95 BRADHURST AVENUE VALHALLA NY 10595-1637 914-592-7555 1275970303 KLEINHENZ DOMINIC 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1063611184 KLEINMAN NOELA 1 HOPSITAL PLAZA STAMFORD CT 06902-3602 203-276-7058 1174579718 KLEMENT GIANNOULA 800 WASHINGTON STREET BOSTON MA 02111-1552 617-636-1465 1407240054 KLIMOVICH JENNA 950 CAMPBELL AVE WEST HAVEN CT 06516-2700 941-232-8099 1568412989 KLIMOWICZ DONNA 555 WILLARD AVE 116-A NEWINGTON CT 06111-2631 860-594-6355 1336137058 KLOTH DAVID 2 RIVERVIEW DRIVE DANBURY CT 06810-6268 203-702-6680 1255961165 KLUCK ANTHONY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1225023203 KLUGMAN JEFFREY 400 PROSPECT STREET NEW HAVEN CT 06511-2181 203-407-6444 1609854983 KNAPP REBECCA SUSAN WAYNE CENTER 75 CHURCH ST. THOMPSON CT 06277-2609 860-928-5900 1710141528 KNEPA AURIMAS 1400 PELHAM PKWY S SUITE 207 BRONX NY 10461-1138 718-924-2329 1174588875 KNIGHT JEANNE 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-1473 REHABILITATION CONSULTANTS, 1699728741 KNOPLOCH SILVIA 698 WEST AVE NORWALK CT 06850-3302 203-523-0100 PC 1720564230 KNOTTS KELSEY 1579 STRAITS TURNPIKE LOWER LEVEL MIDDLEBURY CT 06762-1835 203-598-7246 1386675924 KNOWLES PETER 20 WEST AVON ROAD AVON CT 06001-3677 860-673-0451 1992353908 KNOWLTON KILEY 3300 MAIN STREET SPRINGFIELD MA 01107-1112 413-794-5600 1174898514 KNOWLTON LEAH 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1043638539 KO STEVEN 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1568486215 KOBAYASHI LEO 593 EDDY STREET PROVIDENCE RI 02903-4923 401-854-2504 1285859488 KOCIUBA MARCIN 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1033692819 KODUAH MICHELLE 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-830-2434 1073642393 KOEGLER ALBERT 652 BOSTON POST ROAD SUITE 7 GUILFORD CT 06437-2748 203-453-0015 1659777019 KOERS AMY 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 615-224-5005 1821433053 KOFFER PAUL 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-3600 1467557264 KOFFLER RICHARD 2 OLD NEW MILFORD RD SUITE 3D BROOKFIELD CT 06804-2426 203-885-0910 1447515580 KOHLI NINA 101 PAGE STREET NEW BEDFORD MA 02740-3464 508-973-3584 1306855218 KOKERNAK JAMES 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1083645592 KOKTURK TOLGA 101 DUDLEY STREET PROVIDENCE RI 02905-2401 401-273-0641 1275608879 KOLADE CHRISTINA 3851 MAIN STREET BRIDGEPORT CT 06606-2864 203-372-3333 1376618611 KOLADE EBENEZER 3851 MAIN STREET BRIDGEPORT CT 06606-2864 203-372-3333 1649292798 KOLENIK MD STEVEN 761 MAIN AVE SUITE 102 NORWALK CT 06851-3628 860-282-4128 1801867692 KOLESNICK RICHARD 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1235169715 KOLEVZON ALEXANDER 1 GUSTAVE L LEVY PL # 1230 MOUNT SINAI MEDICAL CENTER NEW YORK NY 10029-6504 212-659-8792 1790297448 KOLOSKI THERESA 38 MULBERRY ST # 204 LEEDS MA 01053-5339 413-727-3882 1922141381 KOMETZ ROCK SMADAR 1 BRADLEY ROAD, SUITE 707 WOODBRIDGE CT 06525-2296 203-389-7747 1053332957 KONDEV VANJA 3241 MAIN STREET STRATFORD CT 06614-5236 203-283-9374 1366461568 KONTOS JIMMY 809 82ND PARKWAY MYRTLE BEACH SC 29572-4607 904-688-6190 1396709556 KOPF RICHARD 132 MAIN ST DANBURY CT 06810-7863 203-794-1979
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1952586018 KORBLY NICOLE 101 PLAIN STREET 5TH FLOOR PROVIDENCE RI 02903-4825 401-273-0641 1952360430 KOREN JAMES SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264-1126 603-536-1120 1801259882 KORUS ADAM 800 HOWARD AVENUE YNHH PULMONARY CRITICAL CARE NEW HAVEN CT 06519-0309 203-785-4216 1770656878 KORVAL ARNOLD 8 WEST END AVENUE OLD GREENWICH CT 06870-1642 203-637-3212 1619387818 KORWIN AMY 300 CEDAR ST, TAC S425 SLEEP MEDICINE NEW HAVEN CT 06520-1612 203-785-3207 1649226481 KOSCINSKI FELICE 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1912031295 KOSTER MICHAEL 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-8360 1194983122 KOTLA VENUMADHAV 1 MEDICAL CENTER BLVD COOKEVILLE TN 38501-2435 931-783-5582 1124634720 KOTSOPOULOS KRISTEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1770640336 KOZLOWSKI MARK 620 ROUTE 32 UNCASVILLE CT 06382-0566 860-848-1291 1114314465 KRANC DAVID 2720 SUNSET BLVD WEST COLUMBIA SC 29169-4810 803-791-2000 1649704966 KRASNOW DARIF 455 TOLL GATE ROAD WARWICK RI 02886-2759 401-273-0641 1528368495 KRAUTHAMER ALAN 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1811005622 KRAVETZ JEFFREY 950 CAMPBELL AVENUE 11ACSL WEST HAVEN CT 06516-2770 203-932-5711 1467481341 KRESSLEY ELISABETH 2 WILDWOOD MEDICAL CENTER ESSEX CT 06426-1428 860-767-2186 1457312100 KRISS TERRENCE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1245206663 KRITZER LESTER 935 MAIN STREET LEVEL B MANCHESTER CT 06040-6059 860-649-0233 1962859942 KROMBEL HILARY 601 E ROLLINS ST ORLANDO FL 32803-1248 800-645-3055 1972602209 KRUGER SUSAN 950 CAMPBELL AVE WEST HAVEN VA WEST HAVEN CT 06516-2770 203-932-5711 1801984927 KRULEE DAVID 433 S MAIN ST STE 225 WEST HARTFORD CT 06110-2812 203-265-4600 1689633018 KRUPP CHRISTOPHER 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-4699 1134102395 KUE RICKY 55 FOGG ROAD SOUTH WEYMOUTH MA 02190-2432 781-624-6920 1992111561 KULKARNI TUSHAR 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1083028484 KUMAR ABHISHEK 628B HEBRON AVENUE GLASTONBURY CT 06033-3661 631-833-1160 1922323542 KUMAR THITTAMARANAH 530 FIRST AVE STE 9V NEW YORK NY 10016-6402 516-663-3018 1437602398 KUMARI NEHA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1669566022 KUNDEL LEONARD 1867 SUMMER STREET STAMFORD CT 06905-5016 203-487-6020 1275936056 KUNEC CHRISTINA 1 BLACHLEY RD STAMFORD CT 06902-0002 203-276-2282 1790147676 KUO VICKY 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1902879752 KURIAN DAMIAN 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1912965708 KURIEN SANTHA 27 HOSPITAL AVE SUITE 304 DANBURY CT 06810-5954 203-743-3833 1962645192 KURLANDER CARA 950 CAMPBELL AVENUE FIRM A, MAIL CODE 11ACSL WEST HAVEN CT 06516-2770 203-932-5711 1649547704 KURT HABIBE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5057 1710958111 KUSHNER BRIAN 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1467984856 KVENVOLD LAURA 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-4700 1508404005 KVISTAD CHRISTINA 108 NEW LONDON TPKE NORWICH CT 06360-2645 860-889-3052 1518114859 KWAN DANIEL 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5495 1912937129 KWOLEK GEMMA 4949 MAIN STREET STRATFORD CT 06614-1613 203-378-9500 1194961003 KWON ANDREANA 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1255867255 LA BRIL ROBERT 230 S FRONTAGE RD YALE CHILD STUDY CENTER NEW HAVEN CT 06519-1124 203-848-5599 1528534138 LABARR MARTHA 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1366409518 LABRANCHE JOHN 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-7191 1679563324 LACOUTURE MARIO 1275 YORK AVE MEMORIAL DERMATOLOGY GROUP NEW YORK NY 10065-6007 646-227-3742 1619045622 LADDS BRIAN 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1003937301 LAFAYETTE JEAN 1 NORTHWESTERN DR BLOOMFIELD CT 06002-0342 860-242-0700 HUSKY Health Connecticut Page 35 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1902079304 LAFF RACHEL 950 CAMPBELL AVE WEST HAVEN CT 06516-2770 203-932-5711 1154630119 LAFRANCE BARBARA 1153 EAST STREET SOUTH SUFFIELD CT 06080-0001 860-292-3516 1437131711 LAGER STEVEN 1400 PELHAM PKWY S 140 BRONX NY 10461-1138 718-924-2329 1972731776 LAHOUD OSCAR 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 BRIDGEPORT RADIOLOGICAL 1205391893 LAI YUNRU 3 ENTERPRISE DRIVE, SUITE 220 SHELTON CT 06484-4694 203-696-3642 ASSOC 1346211380 LAKE DIANA 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1780911503 LALANI FARAH 40100 HIGHWAY 27 DAVENPORT FL 33837-5906 800-645-3055 1598718645 LALIBERTE AMY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1023125598 LAMANA SAMUEL 43 WOODLAND STREET, STE G-80 GOTHIC PARK HARTFORD CT 06105-2363 860-533-3091 1336183235 LAMBERT BRYCE 250 PLEASANT STREET EMERGENCY DEPT CONCORD NH 03301-7539 951-430-1497 1902945058 LAMBRECHT JON 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-4102 LAMEIRINHAS VIEIRA 1447661335 DANIELLE 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 MARACA 1477852937 LAMELAS ANDREAS 5 PERRYRIDGE ROAD GREENWICH HOSPITAL GREENWICH CT 06830-4608 203-863-3840 1972951432 LAMELL CAMILLE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 1285968578 LAMENDOLA KIMBERLY 455 TOLL GATE ROAD WARWICK RI 02886-2756 401-921-7566 1689889578 LANDAU HEATHER 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1114939188 LANDRIGAN DENISE DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-6464 1356761829 LANE CHADRICK 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1669981650 LANG MONIQUE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1154597201 LANGSTON MATTHEW 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1366603573 LANSEN HONORE 21 E 4TH STREET NEW YORK NY 10003-7012 302-313-1584 1427161348 LAOANG JEFFREY 2776 CLEVELAND AVE. FORT MYERS FL 33901-5864 800-645-3055 1619491727 LAPOINTE ALLISON 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1750549606 LAPSIA SAMEER 601 CHILDRENS LANE NORFOLK VA 23507-1910 800-645-3055 1801258157 LARA OSPINA TATIANA 282 WASHINGTON ST HARTFORD CT 06106-3322 860-837-6292 1205096401 LARES DANIELA 134 STATE STREET COMMUNITY HEALTH CENTER, INC. MERIDEN CT 06450-7044 203-237-2229 1538484134 LAROSE CHRISTINE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5943 1487687984 LARSON LUCIA 148 WEST RIVER STREET SUITE 1G PROVIDENCE RI 02904-2615 401-793-7817 1114151867 LASKOWSKI LARISSA 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1578627295 LASKY ERIC 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-4699 CENTER FOR WORK STRESS 1932322120 LASSER JAY 1031 FARMINGTON AVENUE FARMINGTON CT 06032-1576 860-679-0473 REDUCTI 1629003918 LAST GARY 580 COTTAGE GROVE ROAD BLOOMFIELD CT 06002-3032 860-242-8644 1699162826 LASTRA NATALIE 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1093086282 LATIF RAFAY 1400 PELHAM PKWY S ROOM BS35 BRONX NY 10461-3118 718-918-3043 1780670240 LAU KIRKLAND 111 SALEM TURNPIKE SUITE 7 NORWICH CT 06360-6459 860-859-2262 1821229386 LAUFER ILYA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1063657526 LAURO JOSEPH 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-606-3000 1134469604 LAVOIE DIANNE 2150 MAIN STREET SPRINGFIELD MA 01104-3300 860-741-6572 1861415762 LAWRENCE KENDRA 555 WILLARD AVENUE NEWINGTON CT 06111-2631 203-932-5711 1548330749 LAWRENCE TANESHA 82-68 164TH STREET 140 JAMAICA NY 11432-1121 718-924-2329 LITTLETON, NH 03561- 1548235401 LAWSON PHILIP 600 ST JOHNSBURY ROAD NH 03561-3442 508-482-9600 3442 1386087252 LAWTON KELLEY 36 EAST MAIN STREET AVON CT 06001-3801 860-677-5533
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1902933260 LAZAR JEFFREY 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1255838447 LAZAR STACEY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5891 1578665998 LE QUANG 456 PARK AVE WORCESTER MA 01610-1253 508-796-5661 1689751935 LEBLANC MEDERIC 173 MIDDLE STREET LANCASTER NH 03584-3508 508-482-9600 1144203001 LEBOEUF WILLIAM 5300 KIDSPEACE DRIVE OREFIELD PA 18069-2044 610-799-7089 1891716007 LECLAIR WAYNE 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-4699 1700085628 LEDDY LAURA 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 164-622-7376 1285149005 LEDER KELSEY 20 YORK STREET SOUTH PAVILION 5-3 NEW HAVEN CT 06510-3220 203-688-5545 1922170679 LEDERMAN LAURENCE 12 CURTIS STREET MERIDEN CT 06450-5900 203-237-5232 1295787190 LEDERMAN MARTIN ONE HOSPITAL PLAZA STAMFORD CT 06902-3602 203-276-7058 1841432903 LEE CHUNG HAN 300 WESTCHESTER RD MSK HARRISON WEST HARRISON NY 10604-6007 646-227-3742 YNHH NEONATAL-PERINATAL 1942620356 LEE DIANNE 333 CEDAR STREET NEW HAVEN CT 06520-3220 203-688-9503 MEDICI 1912970864 LEE LISA 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-221-0797 1689778284 LEE TERESA 36 GARDNER ST. EAST WINDSOR CT 06088-9675 860-292-8359 1972823961 LEINBAUGH ERRYN 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2752 1558302513 LEINHARDT KATHRYN 55 LOCK STREET NEW HAVEN CT 06511-8237 203-432-0076 1245737105 LENTON MICHAEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1043259047 LEON VINCENT 21 E 4TH STREET, 7 FL NEW YORK NY 10003-7012 302-313-1584 1659532703 LEONE JOSE 450 BROOKLINE AVENUE BOSTON MA 02215-5418 617-632-3586 CONNECTICUT CHILDREN''S 1194188334 LEPUS CHELSEA 282 WASHINGTON ST HARTFORD CT 06106-3322 860-545-9560 MEDICA 1043222060 LESCOUFLAIR ELISABETH 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1114230240 LESKO MELISSA 530 1ST AVENUE HCC SUITE 5D NEW YORK NY 10016-6402 516-663-2818 1154391159 LESSER ROBERT 1201 WEST MAIN STREET SUITE 100 WATERBURY CT 06708-3105 203-573-4803 1881785673 LESTER MITCHELL 148 EAST AVENUE SUITE 3G NORWALK CT 06851-5727 203-838-4034 1144266123 LEV RONEET 4077 5TH AVE. SAN DIEGO CA 92103-2105 800-645-3055 1215931829 LEVADA ANDREW 1201 MAIN STREET SUITE 100 WATERBURY CT 06708-3105 203-573-4803 1821098245 LEVEN LEONARD 3 WEST END AVENUE OLD GREENWICH CT 06870-1640 914-347-4510 1629019807 LEVENSON LAWRENCE 255 BRADLEY STREET NEW HAVEN CT 06510-1108 203-562-3048 1174851117 LEVESQUE CAITLIN 426F SCRABBLETOWN RD NORTH KINGSTOWN RI 02852-3638 401-295-7400 1518955236 LEVI DAVID 131 KENT ROAD BLDG A NEW MILFORD CT 06776-3485 203-758-2523 1679508469 LEVIN GALE 52 BEACH ROAD SUITE 104 CYRIL WAYNIK MD PC FAIRFIELD CT 06824-6017 203-254-2000 1649339003 LEVINE ADAM 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6125 1154473817 LEVINE RONALD 475 COGNEWAUGH RD COS COB CT 06807-1108 203-629-5560 1306040860 LEVINE SARA GREENWICH ADOLESCENT MEDICINE 239 GLENVILLE ROAD GREENWICH CT 06831-4172 203-532-1919 1225004765 LEVINE STEVEN 160 HAWLEY LANE SUITE 202 TRUMBULL CT 06611-5379 203-380-3707 1790992196 LEVINE WENDY 1275 POST RD STE 202 FAIRFIELD CT 06824-6024 203-259-0880 YALE MULTIPLE SCLEROSIS 1487018891 LEVIT ELLE 6 DEVINE STREET NORTH HAVEN CT 06473-4027 203-287-6100 CENTER 1962461202 LEVITAN RICHARD 600 ST JOHNSBURY ROAD LITTLETON NH 03561-3437 603-444-9271 1164590139 LEVITON ROBERT 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1568457679 LEVITT JACOB 5 EAST 98TH STREET, 5TH FLOOR BOX 1048 NEW YORK NY 10029-6574 212-241-9728 1427465319 LEVY BENJAMIN 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-6645 UMASS MEMORIAL MEDICAL 1427361112 LEVY JILLIAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1245244458 LEWANDER WILLIAM 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1972887511 LEWIS ELLEN 8 LINCOLN STREET WESTPORT CT 06880-4201 203-916-4000 1386024388 LEWIS MORGAN 3401 N BROAD STREET PHILADELPHIA PA 19140-5103 215-707-5303 1376734475 LEYBELL INNA 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1912109265 LEYTIN VICTORIA 593 EDDY ST PROVIDENCE RI 02903-4923 401-444-6779 1003279829 LI NAI 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1194106716 LI NEILL 593 EDDY STREET 11 FRIENDSHIP ST PROVIDENCE RI 02903-4923 401-444-6779 1063567261 LI SIU FAI 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1225443344 LI STEPHEN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1316956501 LIAN GANG 180 WESTBROOK ROAD, BLDG 5 ESSEX CT 06426-1517 860-767-1034 1598855728 LICHTER ARLEN 1320 WEST MAIN ST BLDG #2 WATERBURY CT 06708-3131 203-755-9355 1033377478 LIEBMAN LAWRENCE 82-68 164TH STREET JAMAICA NY 11432-1121 718-924-2329 1023039146 LIEBMANN OTTO 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1609835362 LIEBOWITZ NEIL 1031 FARMINGTON AVENUE FARMINGTON CT 06032-1411 860-677-2550 1669584686 LIGHAM DWIGHT 1 LONG WHARF DR STE 212 NEW HAVEN CT 06511-5593 203-624-4208 1043234966 LIGHT JENNIFER 1600 SW ARCHER RD GAINSVILLE FL 32610-3003 800-645-3055 1659465003 LIGORSKI MARK 72 NORTH ST. SUITE 201 DANBURY CT 06810-5653 203-798-0068 1346479334 LIN EMERALD 535 E 70 ST HOSPITAL FOR SPECIAL SURGERY NEW YORK NY 10021-4823 212-774-7598 1760845630 LIN ERIC 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06510-3220 203-785-2095 1174080246 LINDENBAUM KATIE 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1710991435 LINDQUIST DAVID 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1043230600 LINN NOREEN 222 WESTCHESTER AVENUE SUITE 205 WHITE PLAINS NY 10604-2926 914-949-9882 1407873334 LIPMAN STEPHEN 230 BROAD STREET WINDSOR CT 06095-2925 860-688-4634 1528243367 LIPPMANN MELANIE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1114089687 LIPSCHITZ DEBORAH 140 SHERMAN STREET 5TH FLOOR FAIRFIELD CT 06824-5825 203-256-9926 1720617996 LIPTAK STEPHANIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1922039353 LISS MARCIA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5776 1447341243 LITCHMAN MARK 148 EAST AVENUE SUITE 3G NORWALK CT 06851-5727 203-838-4034 1629462858 LITTAUER ROSS 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1194076703 LIU SANNIU 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1477895266 LIVERIS ANNA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1578709044 LIVINGSTONE TAMARA 759 CHESTNUT STREET S3677 SPRINGFIELD MA 01107-1619 413-794-5161 1881701365 LO CONRAD 2 MEDICAL CENTER DRIVE STE 503 SPRINGFIELD MA 01107-1270 413-794-5600 1003855339 LOCKHART GREGORY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1548282569 LOCKHART JEFFREY 246 PLEASANT STREET SUITE 103 CONCORD NH 03301-2548 603-224-6070 1841282381 LOFARO JOSEPH 25 POCONO RD DENVILLE NJ 07834-2954 918-203-0114 1730542945 LOFTUS ANDREW 234 EAST 149TH STREET ROOM 8D-200 BRONX NY 10451-5504 718-579-5006 1881094936 LOGUE NICOLE 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 203-228-2116 HARTFORD ORTHOPEDIC 1851319826 LOHRER WILLIAM 100 WELLS STREET HARTFORD CT 06103-2928 860-249-4466 MEDICINE 1770758419 LOKICH ELIZABETH 101 DUDLEY ST PROVIDENCE RI 02905-2401 401-921-7362 1346467164 LOMBARDI KRISTIN 1 HOPPIN STREET SUITE 304 PROVIDENCE RI 02903-4141 401-444-4612 1538242870 LOMMEL KAREN 701 GROVE RD GREENVILLE SC 29605-4210 864-454-8611 1225102247 LONDON DAVID 567 VAUXHALL STREET EXTENSION SUITE 218 WATERFORD CT 06385-4332 203-623-4400 1982014353 LONDONO ALICIA 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1821183377 LONGO MICHAEL 16 MAIN STREET LLA EAST HAVEN CT 06512-2919 203-468-7181 1578649786 LONGSHORE CARROL 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1831584655 LORD MEGAN 455 TOLL GATE ROAD WARWICK RI 02886-2759 401-273-0641 1942778394 LORD HALVORSON LEISA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 1609094549 LOREFICE LAURENCE 1445 EAST PUTNAM AVE OLD GREENWICH CT 06870-2222 203-637-4006 1629043963 LOTA CONRADO 800 CROSS RIVER ROAD KATONAH NY 10536-0800 914-763-8151 1598702326 LOUDERMILK ANN 55 FOGG ROAD WEYMOUTH MA 02190-2432 781-624-3889 1427506955 LOUIE DEXTER 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7072 1881744456 LOUIT AYMERIC 148 EAST AVENUE SUITE 3G NORWALK CT 06851-5727 203-838-4034 1871908731 LU YI 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1134212798 LUCAS CYNTHIA 2 MEDICAL CENTER DRIVE SPRINGFIELD MA 01199-1619 413-794-7020 1730154790 LUCERO MARK 636 DEL PRADO BLVD CAPE CORAL FL 33990-2695 800-645-3055 1487766101 LUCIANO DANIEL 223 E 34TH ST NEW YORK NY 10016-4852 512-767-6140 1710417464 LUFT BENJAMIN J 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7072 1801811591 LULLA RISHI 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5171 1528016441 LUM JO 1 LONG WHARF DE STE 212 NEW HAVEN CT 06511-5593 203-624-4208 1881651602 LUPO JOSEPH 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-7191 1891834958 LUTTMANN CHRISTOPHER 593 EDDY STREET PROVIDENCE RI 02903-4923 401-793-4102 1255548244 LUZZO KERRI 49 SEEKONK ST PROVIDENCE RI 02906-5176 781-434-6576 1922087832 LYNCH DARREN 395 PLEASANT ST NORTHAMPTON MA 01060-3914 413-584-7787 1275557019 LYNCH DAVID 15 OLD PARK LANE NEW MILFORD CT 06776-2507 860-354-3632 1134136658 LYNCH GEORGE 55 FOGG ROAD SOUTH WEYMOUTH MA 02190-2432 781-792-4136 1962902536 LYNCH JODY 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-614-1617 1184737512 LYONNAIS ANDREA 89 LEWIS BAY ROAD UNIT 4 HYANNIS MA 02601-5240 508-418-6600 1376958520 MA RUI 1047 OLD POST ROAD FAIRFIELD CT 06824-0001 203-254-2006 1306930300 MACALUSO CLAUDE 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1144333121 MACCHIAROLI RICHARD 2776 CLEVELAND AVE FORT MYERS FL 33901-5864 800-645-3055 1851755201 MACDONALD ZACHARY 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1942415146 MACDOUGALL DONALD 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-444-5057 1467406678 MACHRA GURPREET 161 MT. PELIA ROAD MARTIN TN 38237-3811 800-645-3055 1760438212 MACK BJERREGAARD JUNE 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-444-6195 UMASS MEMORIAL MEDICAL 1245258441 MACKIE JR W ANDREW 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1740342013 MACKINTOSH BARBARA 950 CAMPBELL AVE WEST HAVEN CT 06516-2700 203-932-5711 1962860601 MACPAINTSIL-OSTROM STACEY 1000 WHITE HORSE ROAD STE 802 VOORHEES NJ 08043-4414 856-324-3242 1598020034 MADADI ANIL 725 NORTH STREET PITTSFIELD MA 01201-4019 413-881-5427 1336683952 MADDEN ALIZA 800 CROSS RIVER RD KATONAH NY 10536-3549 845-592-2763 1487718532 MAGGIORE DIANE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1063438612 MAGNUS PATRICK 246 PLEASANT STREET SUITE 103 CONCORD NH 03301-2548 603-224-6070 1508067109 MAGRAS LAWRENCE 11 FAIRFIELD BLVD WALLINGFORD CT 06492-1828 203-949-4000 1437312139 MAHAJAN RAAKHEE 254 EASTON AVENUE NEW BRUNSWICK NJ 08901-1766 623-241-8350 1891953790 MAHAL JACQUELINE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1417251513 MAHFOUD JOSE 60 LAFAYETTE STREET SUITE 633 BRIDGEPORT CT 06604-5462 203-576-4349 1548387871 MAHMOOD TARIQ 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1265859144 MAHMUD SIDRAH 20 YORK STREET YNHH NEUROLOGY NEW HAVEN CT 06510-3220 203-688-9503
HUSKY Health Connecticut Page 39 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1962757039 MAHON KATHERINE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1124394820 MAIERS TRAVIS 1 CAPITAL WAY PENNINGTON NJ 08534-2520 215-442-5084 1144280637 MAIOCCO KENNETH 4639 MAIN STREET BRIDGEPORT CT 06606-1832 203-374-5546 1942523303 MAITRA SUBHANKAR 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1912094350 MAJANNI MAYSOUN 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1699733618 MAKDISI TONY 725 NORTH STREET PITTSFIELD MA 01201-4019 413-496-6820 1467488510 MAKKAR HANSPAUL 21 SOUTH ROAD UCONN MEDICAL GROUP FARMINGTON CT 06032-6231 860-679-4600 1366700635 MALANI RACHNA 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1629216429 MALCOLM-BROWN JENNIFER 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1124376215 MALEK TONY 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1023306974 MALEKI SARA 593 EDDY STREET APC 12 PROVIDENCE RI 02903-4923 401-444-8515 1427094473 MALHOTRA MANOJ 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 MEMORIAL ANESTHESIOLOGY 1609846120 MALHOTRA VIVEK 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3742 GROUP 1376864371 MALIK MOHSIN 6 SHAWS COVE SUITE 204 NEW LONDON CT 06320-4969 203-538-5682 WATERBURY VA PRIMARY CARE 1245321553 MALINA ALAN 95 SCOVILL STREET WATERBURY CT 06706-1113 203-932-5711 CENT 1952351702 MALKEVICH DAVID 6401 N FEDERAL HWY FORT LAUDERDALE FL 33308-1427 800-645-3055 1265940068 MANCINI JESSICA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-606-1611 1134292881 MANDARA SILVIO 27 OAK STREET STAMFORD CT 06905-5342 203-324-2262 1215075908 MANDELBAUM CHAIM 75 MAIDEN LANE SUITE: 1206 NEW YORK NY 10038-5162 646-602-8030 1669408696 MANDELBAUM DAVID 335R PRAIRIE AVENUE ATTN: PROVIDER ENROLLMENT PROVIDENCE RI 02905-1924 401-444-4318 1831333780 MANDELL JOANNA 67 BURNSIDE AVENUE EAST HARTFORD CT 06108-3408 302-313-1584 1649444209 MANGIAMELI ELIZABETH 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE RI 02915-5061 401-432-1000 1144431362 MANIS GEORGE 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1346654142 MANIS TYLER 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1063613719 MANJU ALEX 100 HIGH STREET BUFFALO NY 14203-1126 716-859-8318 1922061647 MANNING DANA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1083896906 MANNION MICHELE 3423 DANBURY ROAD BREWSTER NY 10509-4513 845-279-7200 1861641094 MARATTA FRANCESCO 2 CHURCH STREET SOUTH NEW HAVEN CT 06519-1786 203-773-1701 1821367897 MARCEAU-REUTER NICOLE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 UMASS MEMORIAL MEDICAL 1639450778 MARCHIOLI MARC 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1487286563 MARCIL MICHAYLA 2 MEDICAL CENTER DRIVE SUITE 503 SPRINGFIELD MA 01107-1270 413-794-5600 1154834786 MARCOU JORDAN 5520 PARK AVENUE SUITE WP2-200 TRUMBULL CT 06611-3463 410-329-1071 1629147277 MARCUS ANDREW 1825 BARNUM AVE SUITE 303 STRATFORD CT 06614-5333 203-375-6090 1679597744 MARCUS NORMAN 30 E. 40TH STREET STE 1100 NEW YORK NY 10016-1203 212-532-7999 1366512402 MARGOULEFF DONALD 39-31 211TH STREET BAYSIDE NY 11361-1957 718-428-1011 1376558817 MARGULIS MARINA 2601 OCEAN PARKWAY ROOM 3N17 BROOKLYN NY 11235-7745 718-616-4554 1083876213 MARIN ADRIAN 703 MAIN ST EMERGENCY DEPT. PATERSON NJ 07503-3079 973-754-2249 1366418758 MARINGOLA JR RONALD 197 WEST MAIN STREET MERIDEN CT 06451-4141 203-237-6325 1235283243 MARINI LUCIANO 26 LAKESIDE BLVD EAST WATERBURY CT 06708-2916 203-575-9097 1639255920 MARINO-RIVEROS CATALINA 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1265843718 MARKO STEPHEN 20 YORK STREET YNHH EMERGENCY MEDICINE NEW HAVEN CT 06510-3220 203-737-2644 1699952176 MARKOWICZ DANIEL ONE HOSPITAL PLAZA STAMFORD CT 06902-3602 203-276-7058 1073550307 MAROTTA ROCCO 9 KEELER COURT RIDGEFIELD CT 06877-1000 732-828-0361 HUSKY Health Connecticut Page 40 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1083612527 MARQUEZ LUIS 1306 FERNANDEZ JUNCOS AVENUE SAN JUAN PR 00907-4127 787-480-3000 1740532977 MARQUEZ MANUEL 75 KINGS HIGHWAY CUTOFF STE 3A FAIRFIELD CT 06824-5340 410-329-1071 1568968261 MARRERO JING 282 WASHINGTON ST. GASTROENTEROLOGY 2K HARTFORD CT 06106-3322 860-545-9560 1861662975 MARRERO STEIN MARGOT CHILDREN''S & WOMENS PHYSICIAN 503 GRASSLANDS RD VALHALLA NY 10595-1503 914-304-5313 1336129949 MARRON-CORWIN MARY JOAN 506 LENOX AVENUE NEW YORK NY 10087-1889 718-924-2329 1548656572 MARTIN ADDIE 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 164-622-7376 1417990276 MARTIN GINA 400 PALMETTO HEALTH PARKWAY COLUMBIA SC 29212-1760 888-851-7590 1316299704 MARTIN JULIE 1 TOWNE PARK PLAZA NORWICH CT 06360-2559 317-805-1041 1962409102 MARTIN LAUREEN 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1215226758 MARTIN NANCY 8300 CONSTITUTION AVE NE ALBUQUERQUE NM 87110-7613 623-582-2141 1164878500 MARTIN TAYLOR 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1831276021 MARTINS SUSAN 170 HAZARD AVE ENFIELD CT 06082-4520 860-749-2022 1528118031 MARYESKI STEPHANIE 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-3800 1386610699 MASIH RAVI 410 S 11TH ST LAKE WALES FL 33853-4203 800-645-3055 1427219765 MASKARA PAMELA 225 MAIN ST , SUITE 104 SUITE 104 WESTPORT CT 06880-5525 203-227-7530 1801817234 MASON KATHERINE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4318 1043867666 MASON NICOLE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1861749327 MASSA LAURA 593 EDDY STREET STE 101 PROVIDENCE RI 02903-4923 401-444-6779 1417000357 MASSINGHAM LAUREN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-8984 1740230358 MASTINO CHRISTOPHER 314 RIVERSIDE DRIVE FAIRFIELD CT 06824-6072 203-685-6326 1629237987 MATASAR MATTHEW 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1699979542 MATERN ELIZABETH 20 WEST MAIN STREET SECOND FLOOR AVON CT 06001-3716 860-470-7909 1669490561 MATHASON MARK ONE CAPITAL WAY PENNINGTON NJ 08534-2520 215-442-5146 1285085886 MATHEW MARINA 52 BEACH ROAD STE 104 FAIRFIELD CT 06824-6017 203-254-2000 1790054526 MATHEWS SAM 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1073683280 MATHIAS TAMAR 7 KENOSIA AVE DANBURY CT 06810-6047 475-329-2678 1790800951 MATHIEU KERRI 211 PARK STREET ATTLEBORO MA 02703-3143 508-236-8139 1053473983 MATO ANTHONY 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1922629039 MATRONI KATELYN 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1336260512 MATROS EVAN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1427320282 MATTESON ELLEN 160 HAWLEY LANE TRUMBULL CT 06611-0533 203-377-0819 1992870638 MATULONIS URSULA DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-2334 1104945708 MATYAS JANELLEN 4 SHAWS COVE #202 NEW LONDON CT 06320-4902 860-443-4199 1407144710 MAUER SUSAN 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1831531334 MAXWELL LINDA 300 BOSTON POST ROAD HEALTH SERVICES WEST HAVEN CT 06516-1916 203-932-7079 1891120127 MAXWELL PHILLIP 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1912324005 MAYA SUSAN 950 CAMPBELL AVE. BLDG 2 WEST HAVEN CT 06516-1111 203-932-5711 1861669814 MAYBERG STEPHANIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1386630085 MAYER FERN 132 MORGAN STREET STAMFORD CT 06905-5431 203-969-0123 1659361327 MAYER ROBERT 450 BROOKLINE AVENUE DANA-FARBER CANCER INSTITUTE BOSTON MA 02215-5418 617-632-4500 1407882921 MAYMAN DAVID 535 E. 70TH STREET NEW YORK NY 10021-4823 646-797-8471 1083090849 MAYNARD MICHAELA 1125 NORTH MAIN STREET PROVIDENCE RI 02904-5739 401-793-2928 1538728704 MAYO SAMANTHA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1083708945 MAZEIKA CAMDEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1033509567 MAZUMDER NABILA 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-1281 HUSKY Health Connecticut Page 41 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1033176896 MC ALLISTER PETER 30 BUXTON FARMS ROAD SUITE 230 STAMFORD CT 06905-5362 203-914-1900 1568413326 MCALLISTER SARAH 52 BEACH RD FAIRFIELD CT 06824-5663 203-254-2000 1760607659 MCATEER KRISTINA 11 FRIENDSHIP ST NEWPORT RI 02840-2209 401-444-6779 1801323837 MCAVOY KATHLEEN 300 CEDAR STREET YALE PULMONARY CRITICAL CARE NEW HAVEN CT 06520-8057 203-785-3207 1518551431 MCBURNEY JESSIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1437416898 MCCAFFREY RYAN ONE GENERAL STREET LAWRENCE MA 01841-2961 978-683-4000 1497173108 MCCANN ANGELA 158 POMFRET STREET PUTNAM CT 06260-1800 860-963-2250 1790326064 MCCANN ERIN 84 HOSPITAL AVENE DANBURY CT 06810-6047 203-792-0400 1033265251 MCCARTY MOIRA 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1285760934 MCCLEARY NADINE DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-4500 1831221308 MCCLINTOCK ROBERT 600 W 111TH ST 14D NEW YORK NY 10025-1813 212-316-6155 1356573265 MCCLOSKEY LUANNE 2 MEDICAL CENTER DRIVE SUITE 309 SPRINGFIELD MA 01107-1270 413-794-5363 1053517946 MCCLURE MEKEESHA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 615-496-4052 1134268592 MCCOLLOUGH MICHELLE 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1114404126 MCCOOL MICHAEL 2344 BOSTON ROAD WILBRAHAM ROAD MA 01095-1104 413-596-5550 1477648285 MCCOWAN PATRICIA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1053791426 MCDERMOTT FRANK 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1134774516 MCDONNELL KELSEY 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 203-530-7007 1760773287 MCDOUGALL JOHN 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1376947432 MCDOWELL ANDREW 1 LONG WHARF DR STE 212 NEW HAVEN CT 06511-5593 203-676-1524 1326482720 MCEWAN ALYSSIA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1508880931 MCEWAN NED 36 HOYT STREET STAMFORD CT 06905-5613 203-323-5820 1922627710 MCGEE TYLER 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-444-6779 1023009230 MCGOLDRICK PATRICIA 141 SOUTH CENTRAL PARK AVENUE HARTSDALE NY 10530-2340 914-428-0529 1770034746 MCGRATH MEGAN 189 STORRS RD MANSFIELD CENTER CT 06250-1683 860-465-5904 1689883134 MCGRATH MEGHAN 1 BOSTON MEDICAL CENTER PLACE BOSTON MA 02118-2335 617-414-6033 1861940090 MCGROARTY JESSICA 84 HOSPITAL AVENUE DANBURY CT 06810-6047 203-792-0400 1568402485 MCHALE MICHAEL 40100 HIGHWAY 27 DAVENPORT FL 33837-5906 800-645-3055 1114985769 MCHUGH MICHAEL 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2721 1639665789 MCKENNA DEBORAH 86 BEACH ST WESTERLY RI 02891-2718 401-829-2654 1770898694 MCKENNA JENNIFER 1 BALTIC PLACE SUITE 201A CROTON ON HUDSON NY 10520-1641 914-418-4580 1386683555 MCLAUGHLIN CAROLYN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1427403591 MCMASTER BRIAN 601 E ROLLINS ST ORLANDO FL 32803-1248 800-645-3055 1144331166 MCNAMARA CYNTHIA 950 CAMPBELL AVENUE WEST HAVEN CT 06516-2770 203-932-5711 1336161132 MCPHERSON PHILLIP 1 BROOKDALE PLZ BROOKLYN NY 11212-3139 800-645-3055 1801159181 MEAGHER ANDREW 489 STATE ST. BANGOR ME 04401-6616 800-645-3055 1992857619 MEANDZIJA BORISLAV 255 BRADLEY STREET NEW HAVEN CT 06510-1105 203-865-3646 1528168879 MECKEL MARIE 11 WILBRAHAM RD SPRINGFIELD MA 01199-3161 413-794-3710 1427324607 MEDIDI SUNIL 1 TAMPA GENERAL CIRCLE TAMPA FL 33606-3571 888-851-7590 1255856902 MEGAZZINI NICOLE 115 WEST SILVER STREET WESTFIELD MA 01085-3628 413-568-2811 1538207147 MEGIBOW CRAIG 300 FEDERAL ROAD STE 103 BROOKFIELD, CT 06804-2412 203-775-1800 1962439786 MEHDI SYED 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-1281 1437134426 MEHRARA BABAK 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1851354286 MEHTA PRASUN 701 GROVE RD GREENVILLE SC 29605-4210 888-851-7590 1578982880 MEHTA SHAILJA 20 YORK STREET OBSTETRICS AND GYNECOLOGY NEW HAVEN CT 06510-3220 203-785-6927 HUSKY Health Connecticut Page 42 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1699843532 MEHU GUIRY 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1831274604 MEISNER JAY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1770916637 MELCHIONNO KELLY 944 DANBURY ROAD WILTON CT 06897-4909 203-544-0005 1184760175 MELIA MICHAEL 736 BATTLEFIELD BLVD N CHESAPEALE VA 23320-4941 757-312-6404 1609806090 MELTON SHERRY 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1548346398 MELTZER JAMES 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 YNHH PEDIATRIC 1053706887 MENCHER SHANA 20 YORK STREET NEW HAVEN CT 06510-3220 203-688-9503 ENDOCRINOLOGY 1255500153 MENDELSOHN ROBIN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1538247481 MENDILLO ANDREA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1881114403 MENENDEZ ANA 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-2147 1063621506 MENNESSON MICHEL 175 ARCH BRIDGE ROAD BETHLEHEM CT 06751-1613 203-266-6164 1598860389 MEROLLI ALISA 455 TOLL GATE RD WARWICK RI 02886-2759 401-663-0159 1407072838 MERRIAM PRISCILLA DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVENUE BOSTON MA 02215-5418 617-632-5917 1265960397 MERRITT MATHEW 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-5550 1649614868 MERRITT RORY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6125 1023280328 MERTZ CHRISTOPHER 250 PLEASANT STREET CONCORD NH 03301-2598 603-227-7000 1306350392 MESMER MARGARET 4000 CAMBRIDGE STREET KANSAS CITY KS 66160-8501 385-695-1951 1790704690 MESSING BLAINE 28 CROSS HWY BLAINE E. MESSING,MD,MSW,LLC WESTPORT CT 06880-2140 203-505-1492 1639172265 MESSING MEREDITH 500 ENTERPRISE DR ROCKY HILL CT 06067-3913 615-224-5005 1154346831 METCALF MARCIA 38 BRIDGE ST. EAST WINDSOR CT 06088-1014 860-729-8628 1184945636 MEYER BRYANT 1 LONG WHARF DRIVE STE 212 NEW HAVEN CT 06511-5593 203-624-4208 1659748028 MEYER SARA 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-418-9664 1710053939 MEYERS JOHN 128 EAST AVENUE NORWALK CT 06851-5738 203-857-1866 1154683597 MIAN MATTHEW 501 E HAMPDEN AVE ENGLEWOOD CO 80113-2702 949-430-5237 1174886469 MICHAEL AUSTIN 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2726 1275947129 MICHAEL YOUSTINA 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1992745111 MICHAUD JACQUELINE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1801896378 MICHAUD PIERRE 455 TOLL GATE ROAD WARWICK RI 02886-2759 401-273-0641 1285294157 MIGANI ANDREW 532 CHAPEL STREET NEW HAVEN CT 06511-6905 203-865-4286 1780650143 MIHALEY SOBELMAN DEBORA 628 HEBRON AVENUE GLASTONBURY CT 06033-1541 860-494-4600 1225294978 MIKNAITIS REBECCA 21298 OLEAN BLVD PORT CHARLOTTE FL 33952-6705 888-851-7590 1811018864 MILDEBERGER VALERIE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1477024065 MILES HANNIBAL 1817 BLACK ROCK TPKE SUITE 205 FAIRFIELD CT 08625-3546 203-717-1339 1124129226 MILES MELISSA 11 WILBRAHAM ROAD SPRINGFIELD MA 01109-3161 413-794-3710 1245650092 MILLER ASHLEY 725 NORTH STREET PITTSFIELD MA 01201-4109 413-629-1882 1609854454 MILLER BRIAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1184692162 MILLER JEFFREY 6 SHAWS COVE SUITE 101 NEW LONDON CT 06320-4969 860-444-9022 1881631000 MILLER KENNETH 800 WASHINGTON STREET BOSTON MA 02111-1526 617-636-5000 1316138043 MILLER KIMBERLY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1194727487 MILLER PAUL 251 NORTH FOURTH STREET OAKLAND MD 21550-1375 800-645-3055 1336255470 MILLER PAUL 258 MAIN AVE NORWALK CT 06851-2748 203-846-3424 1528099876 MILLER ROBERT 11101 N SHERMAN RD EDGERTON WI 53534-9002 800-645-3055 1437266079 MILLIKEN LAURA 100 HAYNES STREET,2ND FLOOR DEQUATTRO CANCER CENTER MANCHESTER CT 06040-4113 860-533-3091 1487696282 MILLMAN ERIC 64 TRUMBULL STREET NEW HAVEN CT 06510-2118 203-865-1390
HUSKY Health Connecticut Page 43 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1396763587 MILNE C D. 620 SHADOW LANE LAS VEGAS NV 89106-0026 702-473-8900 1689096588 MILNE MARIBETH 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 203-772-3291 1295969533 MILOUSHEV VESSELIN 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1215241062 MINAKATA KENJI 3401 N BROAD STREET PHILADELPHIA PA 19140-5103 856-671-6000 1306807052 MINERVA KRISTIN 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1194174649 MINNER JOHN 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7300 1679538334 MINTZ ABRAHAM 115 TECHNOLOGY DRIVE SUITE B106 TRUMBULL CT 06611-6339 203-372-6460 1083682082 MINTZ JOSHUA 1400 STATE ST SPRINGFIELD MA 01109-1671 413-726-6702 1851345102 MIRANDA ANNIE 1459A NEW BRITAIN AVENUE WEST HARTFORD CT 06110-1659 860-232-5437 1417083221 MIRTCHEVA-TROCHEVA ROSNA 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1881779288 MISRI ASHISH 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 MASSACHUSETTS GENERAL 1699801431 MITCHELL DEBORAH 55 FRUIT ST BOSTON MA 02114-2621 617-643-0711 HOSPITAL 1861427924 MIZE TINA 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1134258486 MOHAN AVINASH 5 PERRYRIDGE RD GREENWICH CT 06830-2180 914-517-7981 1356782262 MOHAN VELU DILIP 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1578950481 MOHAR CAMILO 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1730576695 MOHAR KIMBERLY 601 E ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1518166461 MOHIUDDIN MOHTASHAM 2701 W 68TH ST CHICAGO IL 60626-1813 918-203-0114 1467943100 MOHN WILLIAM 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1811156052 MOMTAZ PARISA 1275 YORK AVENUE NEW YORK NY 10065-6007 647-227-3764 1821164609 MONETTE ALISON 158 POMFRET STREET AVENA MEDICAL CENTER, LLC PUTNAM CT 06260-1800 860-963-2250 1780683847 MONSEAU VINCENT 1500 N 28TH ST RICHMOND VA 23223-5332 419-226-4343 1003312281 MONTEIRO REGINA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5891 1225006877 MONTI JAMES 593 EDDY STREET PROVIDENCE RI 02903-4923 401-854-2504 1336325596 MOORCROFT JILL 279 NEW BRITAIN RD #6 BERLIN CT 06037-3165 860-438-7096 1598941585 MOORCROFT THOMAS 279 NEW BRITAIN RD #6 BERLIN CT 06037-3165 860-438-7096 1588700538 MOORE EILEEN 108 NEW LONDON TPKE. NORWICH CT 06360-2645 860-889-3052 1205060167 MOORE ELISABETH 59 PAGE HILL RD BERLIN NH 03570-3531 603-326-5827 1962823229 MOORE MATTHEW 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1033260310 MORAN BRETE 5 SOUTH MAIN STREET BRANFORD CT 06405-3845 203-483-8656 1467574582 MORELLI MARIANNE 834 FEDERAL ROAD, SUITE A BROOKFIELD CT 06804-2324 203-775-6167 1790051977 MORENO DE LUCA DANIEL 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE RI 02915-5061 401-432-1000 1609804905 MORGAN HARRY 55 NYE ROAD SUITE 102 GLASTONBURY CT 06033-1281 860-657-3056 1497714570 MORGAN JEFFREY DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVENUE BOSTON MA 02215-5418 617-632-5204 1578708111 MORGENTHALER DIANE SCSU GRANOFF HALL 10 WINTERGREEN AVENUE NEW HAVEN CT 06515-1355 203-392-6311 1194223164 MORIARTY ROSE 593 EDDY STREET PROVIDENCE RI 02905-4923 401-444-3777 UMASS MEMORIAL MEDICAL 1043833924 MORIN COLLEEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1215265582 MORIN DANIEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-334-8152 1922130137 MORISSETTE LEE 289 COUNTY ROAD WINDSOR VT 05089-9000 802-674-7333 1467444562 MORMILE JOHN 234 MAIN ST PORTLAND CT 06480-1861 860-342-7277 1003172586 MORRIS JULIE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-793-9864 1013124726 MORRIS LAUREN 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1760834824 MORRIS MOLLY 1 BLACHLEY RD STAMFORD CT 06902-0001 212-774-7598
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1538303821 MORRIS SARAH 101 PAGE STREET NEW BEDFORD MA 02740-3464 508-973-3584 1952322240 MORRISON NORMAN 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1053635888 MORSE PETER 30 LOCUST STREET NORTHAMPTON MA 01061-5001 413-583-4966 1902469604 MORSTON DANYELLE 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1801185186 MORTON LAUREN 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-7191 1811018401 MORTON LOIS 2 BENEDICT PLACE GREENWICH CT 06830-5358 203-622-6551 1225246077 MOSKOVITZ JOSHUA 1400 PELHAM PKWY S RM BS 35 BRONX NY 10461-3118 718-924-2329 1881850626 MOSKOWITZ ALISON 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1689625188 MOSS JEREMY 4639 MAIN STREET MOSS AND MAIOCCO MD LLC BRIDGEPORT CT 06606-1832 203-374-5546 1477937696 MOUSTAFA ABDELMONIEM 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-4489 1932318110 MOVVA SUJANA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1003369042 MOWAFY MAHMOUD 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1558970558 MRIDHA IMRAN 75 KINGS HIGHWAY CUTOFF STE. 3A FAIRFIELD CT 06824-5340 410-329-1071 1316205719 MUCARIA DANETTE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1205816451 MUELLER BORIS 300 WESTCHESTER RD MSK HARRISON WEST HARRISON NY 10604-6007 646-227-3742 1497763080 MUELLER FRIEDRICH 999 SUMMER STREET SUITE 200 STAMFORD CT 06905-9998 203-357-7773 1255778155 MUFSON JEFFREY 300 GEORGE ST. SUITE 901 RM. 25 NEW HAVEN CT 06511-6662 203-785-2095 1972693711 MUGGIA VICTORIA 111 EAST 210 STREET DTC-3 BRONX NY 10467-2490 718-920-5439 1588750269 MULHERN BARBARA FAIRFIELD UNIVERSITY 1073 NORTH BENSON ROAD FAIRFIELD CT 06824-5195 203-254-4011 UMASS MEMORIAL MEDICAL 1508480385 MULLEN CHRYSTEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1790710986 MULLEN JOHN 131 KENT ROAD NEW MILFORD CT 06776-3485 203-702-6640 1023409596 MULLER BRIANNA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1770051294 MUMBA PAMELA 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1245783380 MUNDAY PA_C DANIELLE 761 MAIN AVE SUITE 102 NORWALK CT 06851-0500 860-282-4128 1407118763 MUNNANGI LAKSHMI 84 HOSPITAL AVENUE DANBURY CT 06810-6047 203-792-0400 1437774858 MURAUSKI YELISEI 759 CHESTNUT STREET S3677 SPRINGFIELD MA 01107-1619 413-794-5161 1659501377 MURPHY EMILY 593 EDDY STREET JANE BROWN PROVIDENCE RI 02903-4923 401-444-5448 1376924993 MURPHY MATTHEW 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1760927552 MURPHY MICHELLE 130 DIVISION ST DERBY CT 06418-1326 203-732-7541 1154379691 MURRAY TODD 29 LEWIS AVE GREAT BARRINGTON MA 01230-1713 413-881-5427 1851708184 MURRAY VICTORIA 2150 MAIN ST SPRINGFIELD MA 01104-3566 860-741-6572 1689883837 MURTY DEIRDRE 324 ELM STREET MONROE CT 06468-3244 203-216-4906 1013179050 MUSHIYEV SAVI 1901 FIRST AVENUE ROOM 5M44 NEW YORK NY 10029-7404 212-423-8462 1104117860 MUSITS ANDREW 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-606-3000 1376537241 MUZONES III SANTIAGO 530 NEW BRUNSWICK AVE PERTH AMBOY NJ 08861-3654 800-645-3055 1750324356 MYERSALBARIDI PA ERIN 761 MAIN AVE SUITE 102 NORWALK CT 06851-0001 860-282-4128 1982755088 MYSELS DAVID 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5435 1356507933 NA MICHELLE 2 POMPERAUG OFFICE PARK SUITE 304 SOUTHBURY CT 06488-2288 203-264-1620 1043674641 NA PETER JONGHO 34 PARK STREET NEW HAVEN CT 06519-1109 203-974-7300 1811942915 NABATI LIDA DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-6464 1861728164 NADER IYAD 451 CLARKSON AVE BROOKLYN NY 11203-2054 718-924-2329 1477088235 NADER MARIE 20 YORK STREET YNHH PEDIATRICS NEW HAVEN CT 06510-3220 203-785-4651 1861400814 NADKARNI SIDDHARTHA 223 EAST 34TH ST NEW YORK NY 10016-4852 646-501-3325 1760908503 NAFASH JEFFREY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1013311950 NAFFAA ZAID 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1366535163 NAGALLA BHAVANI VA CONNECTICUT HEALTH CARE 555,WILLARD AVE NEWINGTON CT 06111-2600 860-666-6951 1174910566 NAGARAJAN REGINA 300 GEORGE STREET SUITE 901 NEW HAVEN CT 06511-6662 203-785-2095 1316182074 NAHAR NIRU 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1679908206 NAHAR RICHA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2104 1750834438 NAJEEB FATIMA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1548454622 NALLY MD JENNIE 761 MAIN AVE SUITE 102 NORWALK CT 06851-0001 860-282-4128 1548480577 NAMIN SAMAD 43 HIGH POINT CIRCLE RYE BROOK NY 10573-1092 914-320-6165 1952355174 NAPOLI ANTHONY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1194861609 NARAD JOAN 7 NORTH COVE ROAD OLD SAYBROOK CT 06475-2538 860-304-2049 1760702591 NARAIN PRACHIE 55 LOCK ST NEW HAVEN CT 06520-8237 203-432-0290 1376608208 NARAYANAN SIVA 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1982616520 NASCIMENTO JOAO 3203 MAIN ST BRIDGEPORT CT 06606-4225 203-371-0009 1376953588 NATALE RYAN 1 CAPITAL WAY PENNINGTON NJ 08534-2520 215-442-5084 1942773304 NATARELLI NICOLE 1 BLACHELY ROAD STAMFORD CT 06902-0002 203-590-3100 1134133804 NATHANSON ANDREW 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1699017111 NATSUI SHAW 451 CLARKSON AVE BROOKLYN NY 11203-2054 718-924-2329 1922171263 NAVAS JOHN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1972034593 NAWAZ ABDULREH 601 E ROLLINS ST ORLANDO FL 32803-1248 800-645-3055 1467565697 NAYAK KUMBLA 2601 OCEAN PKWY ROOM 3N17 BROOKLYN NY 11235-7745 718-616-4554 1891953196 NAYAK LAKSHMI DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5450 617-632-2166 1629379631 NAZARIO VANESSA 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 203-510-9131 1669888475 NAZIR UMAIR 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1891728853 NEGBENEBOR DARLENE STAMFORD GASTROENEROLOGY STAMFORD CT 06905-2451 203-998-7400 1164406930 NEILL MARGUERITE 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-3929 1568866796 NEILSON DANIEL 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1598760522 NELSON HEIDI 45-12 41ST STREET SUNNYSIDE NY 11104-3419 718-784-2699 1881618304 NELSON JONATHAN 33 CEDAR STREET RYE NY 10580-2031 914-921-4874 1942257449 NEMCHENOK LINA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1255345179 NESTOR ELIZABETH 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1801816798 NEUREITHER LAWRENCE 573 HOPMEADOW STREET SIMSBURY CT 06070-2462 860-658-0010 1457678286 NEWBERRY MARK 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1558781039 NG STEPHANIE 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1619913175 NGO HUAN 680 CENTRE STREET BROCKTON MA 02302-3308 508-482-9600 1861739518 NGONGMON PASCAL 101 HOSPITAL CENTER BLVD. STAFFORD VA 22554-6200 800-645-3055 1972127454 NGUYEN PATRICIA 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1073994703 NGUYEN ROSALEE 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1881967800 NGUYEN VINCENT 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1558629840 NGUYEN VU 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1811381452 NICHOLS CAITLIN 333 CEDER ST. NEONATAL-PERINATAL MEDICINE NEW HAVEN CT 06510-3206 203-688-2320 1417334459 NICKAS MICHAEL 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1851895635 NICOLES SARA NICOLE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1730193814 NIEGO SARA 52 BEACH ROAD STE 104 FAIRFIELD CT 06824-6017 203-254-2000 1881128932 NIELSON ROSEMARIE ! CAPITAL WAY PENNINGTON NJ 08534-2520 609-815-7829 1629484316 NIEVES EDMARA 1600 S ANDREWS AVE FORT LAUDERDALE FL 33316-2510 800-645-3055 HUSKY Health Connecticut Page 46 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1255357737 NISBET J DOUGLAS 455 TOLL GATE ROAD WARWICK RI 02886-2759 401-273-0641 1518901552 NOBLE JAMES 246 PLEASANT STREET SUITE 104 CONCORD NH 03301-2548 603-230-1939 UMASS MEMORIAL MEDICAL 1346579471 NOE PATRICIA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-441-6767 GROUP 1417213448 NOLAN THEA 55 LAKE AVE NORTH WORCESTER MA 01655-0002 508-334-8010 1649464421 NOLTING LAURA 3301 HARDEN STREET MEDICAL PK COLUMBIA SC 29203-6863 888-851-7590 1609892371 NOONAN MICHAEL 160 HAWLEY LANE TRUMBULL CT 06611-5033 203-377-0819 1942734751 NOORI NADIA 8 LINCOLN ST, FIRST FLOOR WESTPORT CT 06880-4201 203-916-4600 1083640965 NOORMOHAMED AKBAR 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1174750806 NORVAL CHRISTOPHER 645 FARMINGTON AVE 2ND FLOOR HARTFORD CT 06105-2907 860-570-3400 1033472568 NOTIK SHIMRAT 999 SUMMER ST STE 305 STAMFORD CT 06905-5513 203-428-4440 1831488691 NOURANI MONA 1400 S DOBSON RD MESA AZ 85202-4707 385-695-1936 1134268287 NOWAK ANDREW 11 FRIENDSHIP STREET BLDG 2B NEWPORT RI 02840-2209 401-793-3000 1780797860 NOYESDUGUAY LISA 85 BEACH STREET WESTERLY RI 02891-0717 401-596-8311 1144660549 NUGENT JAMES 15 YORK STREET YSOM PEDIATRICS NEW HAVEN CT 06510-3221 203-785-4643 1346209582 NUKI GUY 25 RIDGEWOOD ROAD SPRINGFIELD VT 05156-3050 802-886-8959 1144682329 NULMAN SETH 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1376885467 NWACHUKWU BENEDICT 535 EAST 70TH STREET NEW YORK NY 10021-4823 212-774-7598 1831400498 NWANKWO JOHN 506 LENOX AVE KOUNTZ PAVILLION, RM 633 NEW YORK NY 10037-1889 212-939-3501 1831503739 NYKIEL JENNIFER 29 LEWIS AVE GREAT BARRINGTON MA 01230-1713 413-881-5427 1841583093 O'BRIEN JENNIFER 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1881896629 O'BRIEN JILL 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1821007220 O'BRIEN PAUL 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1245761519 O'DELL RYAN 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1538159579 O'KEEFE DEBORAH 1102 WASHINGTON ST BRAINTREE MA 02184-5438 781-794-5314 1518938075 O'REILLY RICHARD 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1912269622 O'SHEA SARAH 2150 MAIN ST SPRINGFIELD MA 01104-3566 860-741-6572 1487669263 OBERT DAVID 1800 W CHARLESTON BLVD LAS VEGAS NV 89102-2329 702-473-8900 1750313664 OBRIEN MICHAEL 1101 NOTT ST. SCHENECTADY NY 12308-2425 800-645-3055 1134504715 OBRIEN NICHOLAS 60 NORTH MAIN STREET 3RD FLOOR WATERBURY CT 06702-1443 860-417-8633 1821154832 OCAVA LENORE 1400 PELHAM PKWY S ROOM BS35 BRONX NY 10461-3118 718-918-3043 1104113604 ODUFUNADE TAIWO 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1285716183 OESER LINDA 285 SHAKER ROAD ENFIELD CT 06082-5123 860-253-8378 1982629655 OESTREICHER MARK 160 HAWLEY LANE SUITE 104 TRUMBULL CT 06611-5379 203-377-0639 1134564701 OFFIN MICHAEL 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1134255771 OGLAND OLAF 19 HALLS RD, SUITE 235 OLD LYME CT 06371-0046 860-434-9400 1083689020 OGRADY JOHN 67 BELMONT STREET WORCESTER MA 01605-2726 508-334-8152 1104830173 OGUNBAMERU EMILOLA 703 MAIN STREET PATERSON NJ 07503-3079 973-754-2000 1790909737 OHARA NANCY 3 HOLLYHOCK RD WILTON CT 06897-4443 203-834-2813 1124516208 OJSERKIS RACHEL 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-2315 1104092048 OKEH VICTOR 11 UPPER RIVERDALE ROAD SW RIVERDALE GA 30274-2615 918-429-7518 1922276708 OKONIEWSKI ANASTASIA 134 STATE STREET MERIDEN CT 06450-3293 203-237-2229 1356865208 OLAYINKA OLANIYI 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7072 1407194301 OLGAC OYA 400 CAPITAL BLVD ROCKY HILL CT 06067-2527 860-938-2506 1588776173 OLIN CRAIG 5 HIGH RIDGE PARK SUITE 103 STAMFORD CT 06905-1326 203-276-2182
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1831146877 OLIVA JEANNE 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-1473 1396001863 OLIVEIRA ELAINE 82-68 164TH STREET SUITE 207 JAMAICA NY 11432-1121 718-924-2329 1295028611 OLIVER MATTHEW 101 DUDLEY STREET AFF-WIH-TRIAGE (LDR) PROVIDENCE RI 02905-2401 401-273-0641 1356315576 OLIVERIO SUSAN 245 CHAPMAN STREET SUITE 300 PROVIDENCE RI 02905-4513 401-444-6715 1871543009 OLSON BEATRIZ 1625 STRAITS TURNPIKE, STE 207 MIDDLEBURY CT 06762-2846 203-758-2594 1427225184 OLSON EDWARD ONE HOSPITAL PLAZA STAMFORD CT 06902-3602 203-276-7058 1730389172 OMONUWA KENNEDY 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1861434607 ONEILL DARREN ENFIELD MEDICAL ASSOCIATES 701 ENFIELD STREET ENFIELD CT 06082-2961 860-741-6572 1922098284 ONG KENNETH 234 EAST 149TH STREET ROOM 8D-200 BRONX NY 10451-5504 718-579-5006 1417297508 ONYERIKWU OKONTA 168 DAHL AVE STRATFORD CT 06614-2701 203-455-7688 1275534281 ORBAN ZSOLT 111 BREWSTER STREET PAWTUCKET RI 02860-4474 401-921-7566 1356329155 ORGAN SCOTT 641-B CLARK AVENUE BRISTOL CT 06010-4068 860-582-6603 UMASS MEMORIAL MEDICAL 1982265922 ORIAKU KELECHI 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1548365372 ORLANDO MARSHA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1790132066 ORLANSKY PA ELCHANAN 1320 WEST MAIN STREET BUILDING 2 UNIT 5 WATERBURY CT 06708-0500 860-282-4128 1235196718 ORNELAS JR FRANCISCO 5451 WALNUT AVE CHINO CA 91710-2609 800-645-3055 1750792677 ORTEGO ALEXANDRA 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1699928192 OSBORNE NICHOLAS 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1942256979 OSCISLAWSKI DANIEL 1500 SOUTH MILL AVENUE TEMPLE AZ 85281-6699 385-695-1951 1366609760 OSEI DANIEL 535 E 70TH ST NEW YORK NY 10021-4823 212-774-7598 1811985633 OSTREM MARK 1102 WASHINGTON ST BRAINTREE MA 02184-5438 781-794-5314 1073556841 OSTROVSKAYA ANNA 55 LOCK ST NEW HAVEN CT 06511-3603 203-432-0240 1952377962 OSTROVSKY ALEXANDER 2601 OCEAN PKWY ROOM 3N17 BROOKLYN NY 11235-7745 718-616-4554 1295987287 OSULLIVAN RICHARD 55 BRADLEY ROAD MADISON CT 06443-6606 203-444-6639 1447661251 OTTERSON ERIC 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1457572752 OTTLEY ANROY 355 GRAND ST JERSEY CITY NJ 07302-4321 856-671-6000 1225468267 OUELLETTE SARAH 146 WEST RIVER STREET SUITE 11A PROVIDENCE RI 02904-2609 401-793-8770 1730563354 OUIMETTE TAMMI 2 MEDICAL CENTER DRIVE SUITE 308 SPRINGFIELD MA 01107-1270 413-794-7020 1205807997 OVERMOYER SARAH 455 BOSTON POST ROAD OLD SAYBROOK CT 06475-1505 860-388-9799 1083001747 OYEWOLE OYEDOTUN 355 NEW SHACKLE ISLAND ROAD ATTN EMILY JOHNSON HENDERSONVILLE TN 37075-2479 727-507-2519 1558673764 OZERSKY IRINA 530 FIRST AVENUE SUITE 7Q NEW YORK NY 10016-6402 516-663-3018 1972762722 PACHECO JOSHUA 29 LEWIS AVE GREAT BARRINGTON MA 01230-1713 413-881-5427 1043435134 PACHOLSKI VANESSA 970 FARMINGTON AVENUE SUITE 201 WEST HARTFORD CT 06107-2139 860-561-4300 1619421518 PACHOWSKA JUSTYNA 2928 MAIN STREET SUITE 200 GLASTONBURY CT 06033-1007 860-633-2248 1386897262 PADILLA CHRISTINE 81 HOLLY HILL LANE 2ND FLOOR GREENWICH CT 06830-6071 203-792-0400 1184153447 PAEZ JOSE 230 S FRONTAGE RD YALE CHILD STUDY CENTER NEW HAVEN CT 06519-1124 203-848-5599 1497021620 PAGAN-VEITH JOHANNA 223 EAST 34TH STREET NEW YORK NY 10016-4852 516-663-8798 ADVANCED DIAGNOISTIC PAIN 1770699365 PAGGIOLI JOHN 190 W. TOWN STREET NORWICH CT 06360-2131 203-676-1524 TREA 1154480705 PAILY BABY 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1215313242 PALAIODIMOS LEONIDAS 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1447819024 PALMER KATHERINE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-0605 1265599278 PALUMBO JOSEPH 15 CHURCH LANE EAST LYME CT 06333-1621 860-739-3447 1710116421 PAMY PATRICIA 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1023059631 PANDYA SONAL 42 MALL ROAD BURLINGTON MA 01805-0001 508-482-9600 1780637017 PANE CARMELA 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450-2726 201-291-6086 1336537315 PANEK MAGDALENA 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450-2726 201-291-6086 1447229935 PANELO ARNEL 2300 PATTERSON STREET NASHVILLE TN 37203-1538 727-507-3609 1396393484 PANKIW LAUREN 3300 MAIN STREET 3RD FL, SUITE C&D SPRINGFIELD MA 01107-1112 413-794-5600 1053752022 PANLILIO-ORTIZ MARIA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 607-203-1919 1548618762 PAPADDAKIS MARK 1 CAPITAL WAY PENNINGTON NJ 08534-2520 215-442-5084 1851362685 PAPADOPOULOS ESPERANZ 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1356508006 PAPPALARDO JULIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1801205752 PARIKH KRUTI ONE GENERAL STREET LAWRENCE MA 01841-2961 978-683-4000 1902198849 PARISOT NELLY 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1225078348 PARK JOEL 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1144382664 PARKER MICHAEL 22 UPPER MAIN ST SHARON CT 06069-2083 860-364-0424 1326076795 PARKER PRIOR 200 SANDY HOLLOW ROAD MYSTIC CT 06355-1720 860-536-4916 1437308186 PARKER SYLVIA 400 CAPITAL BLVD ROCKY HILL CT 06067-2678 203-687-7875 1538505433 PARNES GREGORY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1801410568 PARRILLA EMANUEL 140 HIGH STREET SPRINGFIELD MA 01105-1442 413-794-2511 1003049255 PARRY THOMAS 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 UMASS MEMORIAL MEDICAL 1841651718 PARSLOW NATALIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-441-6767 GROUP 1023165339 PARSON ELVIN 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1639111008 PARSONS JULIAN 61 SOUTH MAIN STREET SUITE 202 WEST HARTFORD CT 06107-2403 860-521-1264 1750470878 PASSER LUCILLE 380 PLAINFIELD STREET SPRINGFIELD MA 01107-1524 413-794-4458 1629500749 PASTOR ERIN 131 COVENTRY STREET HARTFORD CT 06112-1527 860-714-2847 1255868238 PATEDAKIS LITVINOV BOGDAN 333 CEDAR STREET YALE NEUROPHYSIOLOGY NEW HAVEN CT 06510-3206 203-785-3865 1851650790 PATEL ANKIT 410 S 11TH ST LAKE WALES FL 33853-4203 800-645-3055 1679721617 PATEL ANUJ DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVENUE LW-204 BOSTON MA 02215-5418 617-632-5917 1710935481 PATEL BHAVESH 1579 STRAITS TURNPIKE LOWER LEVEL MIDDLEBURY CT 06762-1835 203-598-7246 1639112352 PATEL BHUPENDRA 65 JAMES STREET EDISON NJ 08820-3947 800-645-3055 1659356566 PATEL BRIAN 211 PARK STREET ATTLEBORO MA 02703-0963 508-236-7040 1588755011 PATEL DANIEL 780 MAIN ST., STE.1 GREAT BARRINGTON MA 01230-2180 413-528-2418 1770912982 PATEL JARNA 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1033409073 PATEL MINESH 1177 HIGH RIDGE RD STAMFORD CT 06905-1221 203-703-2555 1992835540 PATEL PADMAVATI STS 1461 SOUTH BRITAIN ROAD SOUTHBURY CT 06488-0901 203-586-2390 1144889841 PATEL PARTH 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1831188374 PATEL SIMA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1528306586 PATEL SNEHAL 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1841272689 PATEL SNEHAL 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1427147578 PATEL YASHWANT 2601 OCEAN PARKWAY BROOKLYN NY 11235-7745 718-924-2329 1356725063 PATHAK AMRIT 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1245387257 PATHAK ANIL 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1740574425 PATIL RACHIT 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-8984 1548262660 PATRICK GEORGE 550 GOSHEN ROAD P0 BOX 161 LITCHFIELD CT 06759-0161 860-567-8350 1336355114 PATTERSON BRUCE 177 BOSTON POST ROAD BOX 254 WATERFORD CT 06385-2803 860-447-2235 1588611578 PATTI ERNEST 4422 3RD AVE BRONX NY 10457-2545 800-645-3055
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1003226937 PATTNAIK PRIYAM 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1811963200 PAUL SUCHARITA BUFFALO GENERAL HOSPITAL 100 HIGH ST BUFFALO NY 14203-1126 716-859-8318 1376748558 PAULEMON PHEDRE 2601 OCEAN PARKWAY 140 BRONX NY 11235-7745 718-924-2329 1861819831 PAULIS JACQUELINE 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1396027041 PAXSON JACINDA 1805 27TH ST PORTSMOUTH OH 45662-2640 800-645-3055 1245340348 PAYETTE CHRISTOPHER 263 POMFRET ST PUTNAM CT 06260-1835 860-928-3667 1952575573 PAYETTE MICHAEL 21 SOUTH ROAD DERMATOLOGY FARMINGTON CT 06032-6231 860-679-3692 1083058531 PAYNE ANDREW 75 BEEKMAN STREET PLATTSBURGH NY 12901-1438 800-645-3055 1992942205 PEABODY SHERI 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-819-0330 UMASS MEMORIAL MEDICAL 1215426986 PEARCE VICTORIA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1912932385 PEARL ADAM 15 CORPORATE DRIVE SUITE 2-8 TRUMBULL CT 06611-1351 203-452-7081 1700404688 PEARSON KATHERINE 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1720090673 PEKLER GERALD 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1801107172 PELKEY BLUM JESSICA 725 NORTH STREET PITTSFIELD MA 01201-4109 413-528-8600 1114060506 PELLEGRINO MICHAEL 363 HIGHLAND AVE FALL RIVER MA 02720-3703 508-973-3584 1427140243 PELUSE BARBARA 950 CAMPBELL AVE 116A1 WEST HAVEN CT 06516-2700 203-932-5711 1275118564 PENDER AIDAN 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1104250943 PENIGALAPATI DAMODAR 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 CTR FOR ADV ORTHO & SPORTS 1700874955 PENNEY KEITH 538 LITCHFIELD ST. G-01 TORRINGTON CT 06790-6669 860-496-9877 CAR 1982665725 PENNOYER JENNIFER 47 JOLLEY DRIVE BLOOMFIELD CT 06002-3092 860-882-6168 1396064341 PEREIRA JOHNSON 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1730195751 PERERA TARIQUE 84 HOSPITAL AVENUE DANBURY CT 06810-6047 203-792-0400 1417942202 PERLMUTTER HALE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2322 1497075485 PERRY GREGORY 600 NORTHERN BLVD. ALBANY NY 12204-1004 800-645-3055 1548378813 PESCE JOSEPH 4699 MAINST SUITE 212 BRIDGEPORT CT 06606-1830 203-372-8949 1770691552 PESCE KATHERINE 4699 MAIN STREET, SUITE 212 BRIDGEPORT CT 06606-1830 203-372-8949 1598951741 PESHORI SANGEETA 915 RIVER ROAD MIDDLETOWN CT 06457-2797 860-704-4000 1255437109 PETERSEN PAUL 4300 ALTON ROAD MIAMI BEACH FL 33140-2948 480-977-3271 1205850377 PETHICK MARK 532 CHAPEL STREET NEW HAVEN CT 06511-6905 203-865-4286 1437539970 PETRIE ALEXANDER 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1699881284 PETRONIO ANGELA 501 FARMINGTON AVENUE FARMINGTON CT 06032-1901 860-674-4334 1790793503 PEVZNER VLADIMIR 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1790874683 PEYSER MARC 778 LONG RIDGE ROAD SUITE 102 STAMFORD CT 06902-1251 203-329-7122 1962647743 PEZZINO PAUL 330 MAIN STREET 2ND FLOOR HARTFORD CT 06106-1860 203-518-4888 1306245691 PHELPS KIMBERLY 21 E 4TH STREET NEW YORK NY 10003-7012 302-313-1584 1417129792 PHILLIBERT DONALD 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1497267629 PHILLIPS CHANTELL 6 GREENWICH OFFICE PARK GREENWICH CT 06831-5151 203-869-1145 1952423188 PHILLIPS JAMES 300 BROOKLINE AVE BOSTON MA 02215-5400 617-754-9051 1396241972 PHILLIPS MEGAN 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-5161 1306876255 PHILLIPS STEVEN 944 DANBURY ROAD WILTON CT 06897-4909 203-544-0005 1760918262 PHIN NICOLE 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1023189370 PIANKA JOSEPH 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-421-6306 1447524228 PICONE JOSEPH 954 SOUTH MAIN STREET PLANSTVILLE CT 06479-1645 860-628-4761
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1730606740 PIKE JORDAN 759 CHESTNUT STREET SPRINGFIELD MA 01107-1112 413-794-6279 1427396530 PILLAI SAJIN 1400 PELHAM PKWY S SUITE 207 BRONX NY 10461-1138 718-924-2329 1326048463 PINGLE RAJESWARI 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1417137043 PINKHAS ALEX 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1043212350 PINTO MD FRANK 761 MAIN AVE SUITE 201 NORWALK CT 06851-0001 860-282-4133 1528545845 PIRES GERARDA 1305 POST ROAD SUITE 10 FAIRFIELD CT 06824-0619 203-259-7709 1881705481 PISINSKI LESZEK 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1982706032 PITEGOFF JOHN 1225 SILVER STREET MIDDLETOWN CT 06457-3920 860-638-2620 1790051902 PITSKEL NAOMI 342 HARBOR STREET BRANFORD CT 06405-4540 203-481-4248 1447500251 PITTMAN JUSTINE 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1649304775 PIVNICK BARRY 61 WESTFARMS MALL D111 FARMINGTON CT 06032-2631 860-561-5687 1831291368 PIVOR JEFFREY 495 CONNECTICUT AVE NORWALK CT 06854-1724 203-838-3321 1568659514 PIZARRO LOPEZ SANDRA 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1114057718 PLAGER ANDREW 725 NORTH STREET PITTSFIELD MA 01201-4124 413-447-2226 1013179878 PLITAS GEORGE 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1619203031 POLITIKOS IOANNIS 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1437399904 POLLACK BRIAN 17 CEDAR STREET NEW BRITAIN CT 06052-1301 860-832-8625 1912007535 POLLEY KEVIN 701 GROVE ROAD GREENVILLE SC 29605-4210 864-454-8611 1801817705 POMERANIEC LAZARO ONE POST ROAD FAIRFIELD CT 06824-6241 203-255-7617 1114192242 PONCE DORIS 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1770006850 PONCE TERASHIMA JAVIER 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7300 1538509492 POOLE RICHARD 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1376938399 POOLEBOYKIN COLETTE 230 SOUTH FRONTAGE RD NEW HAVEN CT 06519-1124 203-737-7129 1558366419 POPE CHRISTIAN 101 DUDLEY STREET PROVIDENCE RI 02905-2401 401-273-0641 1255309605 POPLAW BARRY 4300 ALTON ROAD MIAMI BEACH FL 33140-2948 480-977-3271 1427062033 PORTELLI DAVID 593 EDDY STREET SUITE 101 PROVIDENCE RI 02903-4923 401-444-6125 1467670992 POST NICHOLAS 2601 OCEAN PARKWAY BROOKLYN NY 11235-7745 718-924-2329 1184683328 POSTERARO JR ANTHONY 199 PARK ROAD EXTENSION SUITE 102 MIDDLEBURY CT 06762-1833 203-437-3111 1487853594 POSTOW MICHAEL 1275 YORK AVENUE NEW YORK NY 10065-6007 646-227-3764 1598887218 POTENZA MARC 48 HOWE ST NEW HAVEN CT 06511-4620 860-560-6396 1639689060 POTHIER SARAH 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-8984 1609841097 POTTER MELISSA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1770993693 POTTS JARED 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-4763 1013000918 POURESMAIL MEHRAN 19 CENTERVIEW RD WOODBRIDGE CT 06525-1842 203-298-0724 1821543380 POWELL MARGARET 100 CENTURY DRIVE WORCESTER MA 01606-1244 508-334-6173 1699061077 POWERS KATE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-8984 1730248485 POWERS RICHARD 205 MAIN STREET EAST HAVEN CT 06512-3003 203-877-0112 1922142348 PRABHU SUDHAKAR 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1144424383 PRADHAN AMIT 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1528141173 PRANEVICIUS MINDAUGAS 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1013387240 PREO LINDSEY 400 CAPITAL BLVD ROCKY HILL CT 06067-3567 207-557-1988 1770590929 PRESS JOEL 535 E 70 ST HOSPITAL FOR SPECIAL SURGERY NEW YORK NY 10021-4823 212-774-7598 1104891407 PRICE RICHARD 441 ROUTE 306 ST 3 MONSEY NY 10952-1234 845-893-4538 UMASS MEMORIAL MEDICAL 1073153987 PRIEST STEPHANIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP
HUSKY Health Connecticut Page 51 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1720424567 PRIETO DIANA 263 FARMINGTON AVE MC 1410 FARMINGTON CT 06030-1921 860-679-2730 1912488222 PRIOR MAXWELL 11 WILBRAHAM ROAD SPRINGFIELD MA 01109-3161 413-794-3710 1154392827 PRIVETTE TROY 400 PALMETTO HEALTH PARKWAY COLUMBIA SC 29212-1760 888-851-7590 1922197896 PROTA CARL 1367 NORTH HIGH STREET EAST HAVEN CT 06512-1121 203-468-8007 1063987030 PROVOST ASHLEY 759 CHESTNUT STREET 2ND FLOOR SPRINGFIELD MA 01107-1619 413-794-8020 1578975306 PRUCHA MICHAEL 593 EDDY ST PROVIDENCE RI 02903-4923 401-444-6779 1932563590 PUJARA MIHEER 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1396090551 PUPPALA DHEERAJ 400 PALMETTO HEALTH PARKWAY COLUMBIA SC 29212-1760 864-454-8611 1760639793 PURAN ALEXIE 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1417294182 PURCEA ALINA 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1649425166 PURCELL TINA 55 LAKE AVE NORTH WORCESTER MA 01655-0002 508-334-8010 1184902967 PURDELL JENNA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 802-370-4715 1063469724 PUREWAL AMARPAL 530 NEW BRUNSWICK AVE PERTH AMBOY NJ 08861-3654 800-645-3055 1396185328 QAJA ERION 80 SEYMOUR STREET HARTFORD CT 06102-5037 860-972-2840 1497793889 QANDAH JULEEN 1676 SUNSET AVENUE UTICA NY 13502-4830 800-633-2243 1558519678 QUATINETZ LARA 800 CROSS RIVER ROAD KATONAH NY 10536-0800 914-763-8151 1205029485 QUIGLEY ROSE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1548248164 QUINTOS JOSE 164 SUMMIT AVE PROVIDENCE RI 02906-2853 401-444-6779 1104086222 QUIST DANIEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1417089152 QUITERIO SHANE 501 E. MAIN ST. WAYNESBORO PA 17268-2353 800-645-3055 1831303106 QURESHI SHEERAZ 535 E 70TH ST NEW YORK NY 10021-4823 212-774-7598 1538743000 RABIU AISHA 1 LONG WHARF DRIVE SUITE 212 NEW HAVEN CT 06511-5942 203-624-4208 1043575392 RABOLLI JULIA 2601 OCEAN PARKWAY 140 BROOKLYN NY 11235-7745 718-924-2329 1518037928 RADEOS MICHAEL 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1023480829 RADI NICOLE 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 203-393-6993 1942290010 RADLER ERIC 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1235615006 RADWAN MOHAMED SAMEH 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1558743286 RADZICKI ALICIA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-793-6348 1164422689 RAFAL RICHARD 506 LENOX AVENUE SUITE 207 NEW YORK NY 10037-1889 718-924-2329 1104186089 RAFFERTY JASON 1 HOPPIN STREET STE 204 PROVIDENCE RI 02903-4141 401-444-8945 1154862886 RAHIMI ALEXANDER 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7072 1194839324 RAHMAN NURUR 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1417253956 RAJA ANDALEEB 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1417159229 RAJENDRASINH RATHOD 101 DUDLEY STREET PRC-CREDENTIALING PROVIDENCE RI 02905-2401 401-273-0641 1336528710 RAMIN ARESH 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1306873468 RANA ALPANA 555 WILLARD AVE VA MEDICAL CENTER NEWINGTON CT 06111-2631 860-666-6951 1053407304 RANA SUNIL 49 LAKE AVE, STE 2 GREENWICH CT 06830-4501 203-869-7704 1134131766 RANAWAT AMAR 535 E 70 ST HOSPITAL FOR SPECIAL SURGERY NEW YORK NY 10021-4823 212-744-7598 1912955188 RANDALL REBECCA 101 DUDLEY STREET PROVIDENCE RI 02905-2401 401-921-7566 1902213879 RANJITKAR PARAS 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1518182476 RANNEY MEGAN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6125 1982969416 RAO SHYAM 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6788 1285026997 RAPPENO JESSICA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 802-236-5016 1972704245 RATHI AMIT 345 N MAIN ST SUITE 311 WEST HARTFORD CT 06117-2508 860-707-3502 1295768141 RATTNER ROBERT 1101 NOTT ST SCHENECTADY NY 12308-2425 801-256-1900 HUSKY Health Connecticut Page 52 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1922121136 RATZ MICHAEL 4017 HIGHWAY 17 MURRELLS INLET SC 29576-5033 888-851-7590 1649222498 RATZEL BRIAN 951 N WASHINGTON AVE TITUSVILLE FL 32796-2163 623-241-8350 1528006038 RAU GREGORY 134 PARK STREET NEW HAVEN CT 06511-5409 203-865-6143 1295890598 RAU JAMES 701 GROVE RD GREENVILLE SC 29605-4210 864-454-8611 1427053701 RAVIN ANATOLIY 9 COVEY RD BURLINGTON CT 06013-1720 860-673-9141 1255593943 RAVINDRAN LAKSHMI 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1417300203 RAVINDRANATH WAIKAR APOORVA 330 CEDAR STREET YNHH PEDIATRICS NEW HAVEN CT 06519-3218 203-737-6905 1518188762 RAWLINS-DUELL ROBIN 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 164-622-7376 1285624353 RAY ELLEN 242 GREEN STREET GARDNER MA 01440-1336 508-482-9600 1194793018 RAYNER JAMES 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6125 1689027542 RAYTA NICOLE 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 401-692-9408 1609027697 RAZA SAKEENA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5435 1245288026 READER CLAUDIO 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1841418944 REAGAN JOHN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1790869691 REARDON DAVID 450 BROOKLINE AVENUE BOSTON MA 02215-5418 508-482-9600 1528454196 REARDON JULIANN 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1073539813 REBEIRO KATHY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-5700 1730567611 REBOLLO ALANA 701 ENFIELD STREET ENFIELD CT 06082-2961 860-741-6572 1750458949 RECTOR FRANKLIN CTR PATRICK F. MCAULIFFE CENTE 70 CENTRAL AVE WATERBURY CT 06702-1207 203-346-1931 1093945875 REDDY SRINIVAS 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1508015959 REED DAVID ONE HOSPITAL PLAZA STAMFORD CT 06904-9317 203-276-5548 1912946195 REED DONNA 100 CENTURY DRIVE WORCESTER MA 01606-1244 508-334-6173 1598889578 REEVES JEREMY 5 RICHLAND MEDICAL PARK COLUMBIA SC 29203-6863 864-454-8611 1073912291 REGAN EILEEN DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-3000 1013989425 REGAN FORD SARA 1 HOPPIN STREET SUITE 304 PROVIDENCE RI 02903-4141 401-444-4612 1194080036 REICH ERIK 303 SOUTH BROAD STREET MERIDEN CT 06450-6646 203-877-0112 1669883831 REILLY JAMES 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1073821187 REISCHERL ANDREA 24 WOLCOTT HILL ROAD WETHERSFIELD CT 06109-1152 860-692-6807 1083625123 REITMEYER GINA 25 CHURCH HILL ROAD SUITE 102 NEWTOWN CT 06470-2122 203-743-9539 1285809319 REMIGIO-MANDAC JENNIFER 500 ENTERPRISE DR ROCKY HILL CT 06067-3913 615-224-5005 1952337040 REMZI FEZA 530 FIRST AVE SUITE 7V NEW YORK NY 10016-6402 516-663-2818 1962817965 REYES SANTOS ALEX 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1144201302 RHODES MICHAEL 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1740890383 RICCI RACHEL 3300 MAIN STREET 3RD FL, SUITE C&D SPRINGFIELD MA 01107-1112 413-794-5600 1104189653 RICE DONALD 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-3055 1902268006 RICHARDS ANDREW 10123 SE MARKET STREET PORTLAND OR 97216-2532 346-704-5413 1497905780 RICHARDS JUDITH 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1093808727 RICHARDSON ELBERT 234 CHURCH ST SUITE NEW HAVEN CT 06510-1804 203-215-7472 1215196936 RICHMAN RYAN 1101 NOTT STREET SCHENECTADY NY 12308-2322 518-243-4141 1619200599 RICK ANDREA 5300 KIDSPEACE DRIVE OREFIELD PA 18069-2044 610-799-7089 1548445281 RIDEOUT JESSE 800 WASHINGTON STREET BOSTON MA 02111-1552 904-421-1983 1508839630 RIDLEY STEPHEN 5 RICHLAND MEDICAL PARK COLUMBIA SC 29203-6863 888-851-7590 1972847069 RIERA ROSA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1649408725 RIESE JEFFREY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-7396 1437249943 RIGBY FIDELMA 1250 EAST MARSHALL STREET RICHMOND VA 23298-5051 800-645-3055 HUSKY Health Connecticut Page 53 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1043347537 RIVAS JAIME 220 WESTCHESTER AVE PORT CHESTER NY 10573-4558 914-939-6696 1841586971 RIVERA AKSIM 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1194818013 RIXON JOHN 55 WEBSTER HILL BLVD WEST HARTFORD CT 06107-3458 860-561-7131 1184919300 RIZZO ANDREW 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1457345605 RO HOWARD 701 ENFIELD STREET ENFIELD MEDICAL ASSOCIATES ENFIELD CT 06082-2961 860-741-6572 1811937907 ROACH RACHEL 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 401-742-8077 1497041149 ROBB VANESSA 51 MARKET SQUARE NEWINGTON CT 06111-1902 860-667-0818 1477665420 ROBBINS MICHAEL 1 LONG WHARF DR STE 212 NEW HAVEN CT 06511-5593 203-624-4208 MENTAL HEALTH AND 1881853521 ROBERTS CATHERINE 55 LOCK ST. NEW HAVEN CT 06511-8237 203-432-0290 COUNSELING 1912239476 ROBERTS ERIN 175 COPSE RD. MADISON CT 06443-2527 203-245-2778 1831272830 ROBERTS KIRSTEN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1881826550 ROBERTS SUZANNE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1508108911 ROBICHAUX BENJAMIN 195 EASTERN BLVD SUITE 200 GLASTONBURY CT 06033-1208 860-781-6294 1457713638 ROBINSON ERICA 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1366528812 ROBINSON SANDRA 1 BROOKDALE PLZ BROOKLYN NY 11212-3139 800-645-3055 1124256722 ROBINSON SPENCER 5 RICHLAND MEDICAL PARK COLUMBIA SC 29203-6897 803-296-7998 1346656824 ROBISON JEREMIAH 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1376633248 ROBISON KATINA 101 DUDLEY STREET PROVIDENCE RI 02905-2401 401-273-0641 1346281367 ROCK JASON 233 GEORGE JUNIOR ROAD GROVE CITY PA 16127-4417 724-458-9330 1437350642 ROCKWELL MICHELLE 620 BYRON ROAD HOWELL MI 48843-1002 734-343-0396 1538608617 RODRIGUES DEBORAH ONE HOSPITAL PLAZA STAMFORD CT 06902-3682 203-275-7058 1831151281 RODRIGUEZ ALCIBIADES 223 E 34TH ST. NEW YORK NY 10016-4852 512-767-6140 1417955071 RODRIGUEZ MARINA 164 SUMMIT AVE PROVIDENCE RI 02906-2853 401-444-6779 1326366360 RODRIGUEZ RACHEL 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1497706519 RODRIGUEZ DE LEON OSCAR 725 NORTH STREET PITTSFIELD MA 01201-4124 413-447-2752 1992064323 ROGERS ANDREW 1924 ALCOA HWY KNOXVILLE TN 37920-1511 800-645-3055 1861465973 ROGERS HOWARD 111 SALEM TPKE STE 7 NORWICH CT 06360-7403 860-859-2262 1548588866 ROGERS JENNIFER 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1942716048 ROGERS MEGAN 736 IRVING AVENUE SYRACUSE NY 13210-1690 800-645-3055 1932113073 ROHR MICHELE 159 WEST PUTNAM AVENUE GREENWICH CT 06830-5329 203-869-7080 1255313490 ROLOFF CHRISTOPHER 211 PARK STREET ATTLEBORO MA 02703-3143 508-482-9600 1396911178 ROMANO SALLY 787 MAIN ST. SOUTH, A-4 WOODBURY CT 06798-1953 203-405-6789 1942493101 ROMEE RIZWAN DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-6140 1750894507 ROSA LAUREN 395 PLEASANT STREET NORTHAMPTON MA 01060-3914 413-584-7787 1942435227 ROSE YOCHEVED 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1407175078 ROSEN EVAN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1023118999 ROSENBERG ILENE 40 COMMERCE PARK SUITE 1 MILFORD CT 06460-3506 203-878-3531 1932204203 ROSENBERG REMI 5 HIGH RIDGE PARK SUITE 103 STAMFORD CT 06905-1326 203-276-2182 1154411817 ROSENHEIN BRUCE 725 NORTH STREET PITTSFIELD MA 01201-4019 413-881-5427 1730100546 ROSENKRANZ BARRY 55 CHURCH ST.SUITE 403 YALE BEHAVIORAL HEALTH NEW HAVEN CT 06510-3014 203-764-7276 1972730653 ROSENTHAL DAVID VA CONNECTICUT 950 CAMPBELL AVENUE WEST HAVEN CT 06516-2770 203-932-5711 1205154945 ROSENTHAL MARTIN 1600 SW ARCHER RD GAINESVILLE FL 32610-3003 800-645-3055 1336534734 ROSENTHAL MICHAEL 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1609877448 ROSIN BENJAMIN 14502 W MEEKER BLVD SUN CITY WEST AZ 85375-5282 385-695-1936
HUSKY Health Connecticut Page 54 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1629016407 ROSS IV ALBERT 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-8306 1164950143 ROSSATOBENNETT XIMENA 94 LOCUST AVENUE DANBURY CT 06810-5954 203-798-0500 1245213347 ROSSI HUMBERTO DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVENUE BOSTON MA 02215-5418 617-632-5917 1275976052 ROSSIGNOL JOHN 36 EAST MAIN STREET AVON CT 06001-3801 860-677-5533 1134501406 ROSSOWSKI AUDREY 5300 KIDSPEACE DRIVE OREFIELD PA 18069-2044 610-799-8130 1538272117 ROSTENBERG PETER 71 ROUTE 39 NEW FAIRFIELD CT 06812-4017 203-746-3300 1265601454 ROTOLO ALYSSA 1425 MALABAR ROAD NE PALM BAY FL 32907-2506 623-582-2141 1972570422 ROTONDO KATHLEEN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6195 1003077181 ROTTE MASASHI 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1447488549 ROUGAS STEVEN 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-606-3000 1518239581 ROWAN JACQUELINE 111 SALEM TURNPIKE SUITE 7 NORWICH CT 06360-3442 860-859-2262 1295174373 ROWLAND EMILY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-845-1998 1346698065 ROWLES ANDREW 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1043218464 ROWLEY SHARI 601 E ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1376749259 ROY SOUMEN 250 PLEASANT STREET CONCORD NH 03301-7539 603-227-7000 1346880994 ROY-CHOQUETTE HEIDI 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1295741403 ROZENFELD RANNA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6195 1245775717 ROZENTSVIT ARTUR 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1306997291 RUAN LILY 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 917-282-8958 1578593497 RUBEN HARVEY 77 KNOLLWOOD DRIVE NEW HAVEN CT 06515-9998 203-397-0064 1003934233 RUBIN TODD 469 BUCKLAND RD SOUTH WINDSOR CT 06074-3737 860-644-2136 1023102910 RUCHO MARY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6556 1629383955 RUDDY ROSE 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1003950429 RUDER SONALI 3000 CORAL HILLS DR CORAL SPRINGS FL 33065-4108 800-645-3055 1114213683 RUEST STEPHANIE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1275799827 RUIZ VALCARCEL CARMEN 3000 CORAL HILLS DR CORAL SPRINGS FL 33065-4108 623-580-6309 1649583782 RUPAWALA ABBAS 245 CHAPMAN STREET SUITE 300 PROVIDENCE RI 02905-4539 401-444-4741 1508841388 RUSCH VALERIE 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1467402693 RUSHIN RANDALL 20-30 BEAVER ROAD SUITE 102 WETHERSFIELD CT 06109-2242 860-721-7428 1801319785 RUSSELL CAELI 759 CHESTNUT STREET 2ND FLOOR SPRINGFIELD MA 01107-1612 413-794-3233 1689672347 RUSSELL DONNA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1609164532 RUSSELL MARK 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-878-4546 1740628106 RUSSELL MELISSA 223 E 34TH ST 9TH FLOOR-CREDENTIALING NEW YORK NY 10016-4852 512-767-6140 1356622120 RUSSELL SAMARA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-772-2135 1053758425 RUSSO BENJAMIN 506 LENOX AVENUE NEW YORK NY 10087-1889 718-924-2329 1891762837 RUSSO MICHAEL 400 WEST MAIN STREET BRANFORD CT 06405-3416 203-483-7778 1093886327 RYAN MARY 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1568882595 SAAB SAID 3401 NORTH BROAD STREET PHILADELPHIA PA 19140-5103 215-707-1429 1942341060 SABOVIC ZIJAD 3000 PARK AVE BR CT 06604-1105 203-331-8704 1619924750 SABRA MONA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1891841870 SACCHI ROBERT 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1427308105 SADANOWICZ ALEXANDRA 163 BROADWAY STREET COLCHESTER CT 06415-1022 860-537-2020 1346748977 SADLER DEVIN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-606-1160 1235209347 SAEED AYSHA 555 WILLARD AVENUE NEWINGTON CT 06111-2631 860-666-6951 1770950644 SAEED MOHAMMAD 1901 FIRST AVENUE SUITE 207 NEW YORK NY 10029-7404 718-924-2329 HUSKY Health Connecticut Page 55 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1649676396 SAGE SHANNON 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1205888203 SAINTONGE RONALD 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1538213483 SAKR BACHIR 101 DUDLEY ST PROVIDENCE RI 02905-2401 401-921-7362 1518075571 SALAFIA CAROLYN 82-68 164TH STREET SUITE 207 JAMAICA NY 11432-1121 718-924-2329 1477593614 SALAMA FAWZY 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1871899393 SALDIVAR REGGIE 1275 YORK AVENUE NEW YORK NY 10065-6007 646-227-3764 1821416793 SALOUS ABDELGHAFFAR 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-781-6294 1154663300 SALUJA SANDEEP 999 SUMMER STREET STE 305 STAMFORD CT 06905-5546 203-428-4440 1235239526 SAMAAN FADI 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1306253695 SANCHEZ ALEXANDER 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2323 1508843988 SANDHU JASPREET 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1568425171 SANDLER JEFFREY 4699 MAIN STREET SUITE 106 BRIDGEPORT CT 06606-1830 203-374-8182 1811252026 SANDOVAL-GONZALEZ JUAN 450 S. OCOTILLO AVE BENSON AZ 85602-6403 800-645-3055 1760554786 SANDUSKY WILLIAM 888 SOUTH KING STREET HONOLULU HI 96813-3097 800-645-3055 1245557289 SANFORD RACHEL 300 WESTCHESTER AVE MSK HARRISON WEST HARRISON NY 10604-6007 646-227-3742 1700225703 SANGHA MAHEEP 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1932477585 SANJURJO TOMAS 290 ROBERTS STREET 2ND FLOOR EAST HARTFORD CT 06108-3684 860-826-4763 1386197192 SANTINI FERNANDO 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1972787331 SANTOPIETRO NICOLE 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1316280639 SANTOS MICHAEL 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1235154410 SARFEH JAMES 556 BUSK CT CHESHIRE CT 06410-4155 203-217-3359 1235576380 SARFRAZ SYLVESTER 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1558704452 SAS DANIEL 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1356375117 SATO SHINICHI 1001 SAM PERRY BLVD. FREDERICKSBURG VA 22401-4453 800-645-3055 1134365976 SAUER KERRI 150 WARE RD DAYVILLE CT 06241-1126 860-774-8574 1447494612 SAUTER CRAIG 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1295732444 SAUTER JOHN 600 ST JOHNSBURY ROAD LITTLETON NH 03561-3442 603-444-9271 1144774597 SAVARESE KATHRYN 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1366978256 SAVARIMUTHU STELLA 300 CEDAR ST, TAC S425 NEW HAVEN CT 06519-1612 203-785-3207 1164873600 SAWYER KARA 701 ENFIELD STREET ENFIELD CT 06082-2967 860-741-6572 1992967699 SCAPPATICCI ALBERT 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1952489312 SCARDINO RICHARD 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1942477740 SCARFO CARLA 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-606-3000 1467794537 SCHAIRER WILLIAM 535 EAST 70TH STREET NEW YORK NY 10021-4823 212-774-7598 1669603049 SCHALET KARYN 3400 MAIN STREET SPRINGFIELD MA 01107-1113 413-794-9560 1841458759 SCHAMBERG NEAL 15 VALLEY DRIVE 3RD FLOOR GREENWICH CT 06831-5205 203-489-6900 1225464233 SCHAUER SARAH 1153 EAST ST. S SUFFIELD CT 06078-2412 860-292-3516 1225047772 SCHECHTER JADE 21 E 4TH STREET, 7 FL NEW YORK NY 10003-7012 302-313-1584 1689942559 SCHEINBERG KATHLEEN 327 HIGH STREET MIDDLETOWN CT 06459-3232 860-757-3035 1841554110 SCHICKMAN REBECCA 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1215202353 SCHINDLER EMMANUELLE 950 CAMPBELL AVENUE MS 127 WEST HAVEN CT 06512-2770 203-932-5711 1407389976 SCHISSLER KATHRYN 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-2147 1184915191 SCHLOGL JEFFREY 425 JACK MARTIN BLVD BRICK NJ 08724-7732 800-645-3055 1487134284 SCHLOSKY AMANDA 2 MEDICAL CENTER DRIVE SUITE 503 SPRINGFIELD MA 01107-1270 413-794-5600 1316993975 SCHMITT PHILIP 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-845-1473 HUSKY Health Connecticut Page 56 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1386865616 SCHNEIDER CARISA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1447201405 SCHNEIDER JEFFREY 259 1ST STREET MINEOLA NY 11501-3957 516-663-4941 1174941744 SCHNEIDER MARABEL 333 CEDAR STREET YALE CARDIOVASCULAR MEDICINE NEW HAVEN CT 06520-8017 203-737-4026 GREENWICH ADOLESCENT 1497843197 SCHNEIDER MARCIE 239 GLENVILLE ROAD GREENWICH CT 06831-4172 203-532-1919 MEDICINE 1184798852 SCHNEIDER OWEN 52 BEACH RD FAIRFIELD CT 06824-6017 203-254-2000 1306296173 SCHNELL CLAIRE 5 RICHLAND MEDICAL PARK COLUMBIA SC 29203-6897 888-851-7590 1598772766 SCHRAGER ALAN 1600 HARRISON AVENUE G102 MAMARONECK NY 10543-3145 914-698-8106 1528065984 SCHREIBER JONATHAN 1 BARNARD LN STE 102 SUITE 102 BLOOMFIELD CT 06002-2482 860-243-1889 1629108816 SCHULTZ MICHAEL 636 DEL PRADO BLVD CAPE CORAL FL 33990-2695 800-645-3055 1134129109 SCHUMAKER JEAN 2 MEDICAL CENTER DRIVE STE 503 SPRINGFIELD MA 01107-1270 413-794-5600 1851368468 SCHWALB MURRAY 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1912091760 SCHWARTZ AMY 950 CAMPBELL AVE 11ACSL WEST HAVEN CT 06516-2770 866-808-7921 1528353430 SCHWARTZ JAMILA 1 ABRAHMS BLVD WEST HARTFORD CT 06117-1525 860-523-3854 1750369625 SCHWARTZ MIRIAM 836 FARMINGTON AVE, SUITE 221B WEST HARTFORD CT 06119-1505 860-995-0432 1982801593 SCHWERIN DANIEL 701 GROVE RD GREENVILLE SC 29605-4210 888-851-7590 1043650286 SCOCCIMARRO ANTHONY 234 EAST 149TH STREET ROOM 8D-200 BRONX NY 10451-5504 718-579-5006 1003115700 SCORDO MICHAEL 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1881032787 SCOTT DOUGLAS 447 N. MAIN ST. PITTSFIELD ME 04967-3707 800-645-3055 1023102621 SCOTT EARL 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1376153635 SCOTT JAMIE 701 ENFIELD STREET ENFIELD CT 06082-2961 860-741-6572 1386613065 SCOTT MICHAEL 298 MEMORIAL DR SENECA SC 29672-9443 864-454-8611 1891844080 SCOTTO JAMISON 1080 DAY HILL ROAD WINDSOR CT 06095-1781 860-683-0243 1417085465 SCULLY MARY 1125 NEW BRITAIN AVE WEST HARTFORD CT 06110-2420 860-561-3345 1144587858 SEASON JONATHAN 273 COUNTY ROAD NEW LONDON NH 03257-5736 603-526-5203 1073619391 SEDIVA IVONA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4201 1447467022 SEELEY-HAY ANGELA 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1912972548 SEEWALD RANDY 30 MILESTONE ROAD DANBURY CT 06810-5114 203-456-8353 1215025333 SEIDLER ALICE 234 EAST 149TH STREET ROOM 8D-200 BRONX NY 10451-5504 718-579-5006 1508889197 SEIDNER JACOB 70 WASHINGTON AVE NORTH HAVEN CT 06473-1703 203-530-1419 1508912759 SELKIN ALAN 15 VALLEY DRIVE 3RD FLOOR GREENWICH CT 06831-5205 203-489-6900 1740785211 SEO LONNIE 20 YORK STREET YNHH EMERGENCY DEPARTMENT NEW HAVEN CT 06510-3220 203-688-4242 1780747840 SEPLOWITZ BRUCE 60 ALGER RD EAST HADDAM CT 06423-1212 860-873-1777 1982867578 SEQUEIRA SHWETHA ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118-2908 617-414-6033 1750344800 SERGEL SHEILA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1073766358 SERI ANN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1740589233 SERRANO GONZALEZ MONICA 1 HOPPIN STREET SUITE 3.055 PROVIDENCE RI 02903-4141 401-444-5980 1093887465 SHABAREK NEHAD 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1861674822 SHAFFER BRIAN 1275 YORK AVE NEW YORK NY 10065-6007 164-622-7376 1831197433 SHAFI MOHAMMAD 907 E. LAMAR ALEXANDER PKWY MARYVILLE TN 37804-5015 800-645-3055 1871796243 SHAFIE SHIDEH 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1053586263 SHAH GUNJAN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1891010476 SHAH NISHAN 206 SECOND STREET EAST BRADENTON FL 34202-1253 941-746-5111 1316204340 SHAH RAVI 3 COLUMBUS CIRCLE SUITE 1430 NEW YORK NY 10019-8760 212-304-6309 1104892413 SHAH VIPUL 234 EAST 149TH STREET ROOM 8D-200 BRONX NY 10451-5504 718-579-5006
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1790075752 SHAHRIARI MONA 1 WILLOWBROOK RDQ SUITE 2 CROMWELL CT 06416-1745 860-322-2222 1053738203 SHAHRIARI SHERVIN 5655 FRIST BLVD HERMITAGE TN 37076-2053 727-437-3065 1366497679 SHALON LINDA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6195 1255399358 SHAPIRO JULIE 55 FOGG ROAD SOUTH WEYMOUTH MA 02190-2432 781-792-4136 1255352738 SHARAF BARRY 164 SUMMIT AVENUE PROVIDENCE RI 02906-3902 401-793-2500 1679607329 SHARKEY KATHERINE 375 WAMPANOAG TRAIL PULMONARY SLEEP LAB RIVERSIDE RI 02915-2232 401-443-4992 1659787125 SHARMA ANJALI 80 SEYMOUR ST HARTFORD CT 06102-5037 860-679-4763 1871646836 SHARNICK MAUREEN 375 BRIDGEPORT AVE SHELTON CT 06484-3844 203-925-8510 1891922449 SHARPE SHELLEYANN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1700969128 SHAW RONALD 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1184796484 SHAW STEVEN 136 WEST MAIN STREET FIRST FLOOR NEW BRITAIN CT 06051-1315 860-826-4763 1053743286 SHAWN MARSH SAMANTHA 85 BEACH STREET BLDG C, UNIT 8 WESTERLY RI 02891-2718 401-348-2800 1710974530 SHEA JUDITH 7 RIVERSVILLE ROAD GREENWICH CT 06831-3684 203-531-1808 1952878076 SHEA KAITLIN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-3728 1033125356 SHEA LISA 146 WEST RIVER STREET SUITE 11B PROVIDENCE RI 02904-2609 401-444-7442 1831517150 SHEHU EVAN ONE HOSPITAL PLAZA STAMFORD CT 06902-3602 203-276-7058 1659395788 SHEIKH QASIM 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1568540789 SHEINTOP DAVID 256 NORTH MAIN ST SOUTHINGTON CT 06489-2524 860-276-0225 1871081729 SHEN ALICE 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1164485306 SHEN JIAN 5010 STHWY 30 SUITE 205 AMSTERDAM NY 12010-7532 518-773-4242 1083794812 SHENDER ANNA 66 GLENBROOK RD STAMFORD CT 06902-8402 203-961-8241 1578649422 SHENOY RAJESH 82-68 164TH STREET JAMAICA NY 11432-1121 718-924-2329 UMASS MEMORIAL MEDICAL 1780205674 SHEPPARD MEGAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1639144090 SHERRILL CHERYL 281 LINCOLN STREET WORCESTER MA 01605-2138 508-334-8152 1801848981 SHESTAK ALEKSANDR 2601 OCEAN PARKWAY BROOKLYN NY 11235-7745 718-616-4554 1023356193 SHETH SHREEDA 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1467642272 SHETTY KARTIKA 102 E LAKE MEAD PKWY HENDERSRON NV 89015-5575 800-633-2243 1013192384 SHETTY SAFAL 163 UNIVERSAL DRIVE NORTH NORTH HAVEN CT 06473-3152 203-523-0971 1629168059 SHEVIN WILLIAM 50 APPLEWOOD DRIVE WOODSTOCK CT 06281-2304 860-928-4040 1871663328 SHIFREEN STEVEN 645 FARMINGTON AVENUE HARTFORD CT 06105-2946 860-570-3400 1699054924 SHIMANOVSKY ALEXEI 593 EDDY STREET STE 101 PROVIDENCE RI 02903-4923 401-444-6779 1912935271 SHIRK COLBY 501 E. MAIN ST. WAYNESBORO PA 17268-2353 800-645-3055 1366932188 SHIROKOVA MARINA 2 MEDICAL CENTER DRIVE STE 503 SPRINGFIELD MA 01107-1270 413-794-5600 1972604528 SHITIA HUSAM 430 HIGHLAND AVE CHESHIRE CT 06410-2565 203-271-3132 1568452159 SHOLOMSKAS ALAN 2440 WHITNEY AVE HAMDEN CT 06518-3222 203-776-2077 1205067279 SHORT CASIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1689740854 SHORT ROBBY 451 CLARKSON AVE SUITE 207 BROOKLYN NY 11203-2054 718-924-2329 1447275730 SHOSTAK ANNA 2601 OCEAN PARKWAY BROOKLYN NY 11235-7745 718-924-2329 1073557724 SHULER WESLEY 2720 SUNSET BLVD WEST COLUMBIA SC 29169-4810 888-851-7590 1861593873 SIAZON-LEVISTE CATHERINE 1000 SILVER STREET MIDDLETOWN CT 06457-7203 860-262-5000 1518515766 SIBAI AMANDA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1669668729 SIBBALD JESSICA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 774-443-7552 1730674599 SIBLEY SEAN 489 STATE ST. BANGOR ME 04401-6616 800-645-3055 1144360629 SICA ROBBAN 1 TURKEY HILL ROAD SOUTH WESTPORT CT 06880-3534 203-799-7733
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1285969980 SIDDIQUI IQBAL 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1720117724 SIDES ANDREW 5 RICHLAND MEDICAL PARK COLUMBIA SC 29203-6897 864-797-6037 1265438923 SIEDLECKI DIANE 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1891897377 SIEGER BRENT 301 MEMORIAL MEDICAL PKWY DAYTONA BEACH FL 32117-5167 800-645-3055 1992117584 SIEGER KEITH 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1134388432 SIKAND JENNIFER 102 E LAKE MEAD PKWY HENDERSON NV 89015-5575 800-633-2243 1013914167 SIKAND VIJAY 7 VAUXHALL ST NEW LONDON CT 06320-5711 860-443-2896 1992290605 SIKPI AYIBATARI 230 SOUTH FRONTAGE ROAD NEW HAVEN CT 06519-1124 203-737-7129 1669528311 SILVA LEE TRACY 1275 SUMMER STREET SUITE 105 STAMFORD CT 06905-5315 203-325-2667 1215225180 SILVERBERG JOSHUA 1400 PELHAM PKWY S SUITE 207 BRONX NY 10461-1138 631-675-9301 1598860769 SILVI PAUL 759 CHESTNUT STREET S4628 SPRINGFIELD MA 01107-1619 413-794-5550 1063832319 SILVIS JENNIFER 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-972-4069 1912325200 SIMICH CLAUDIA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1811068398 SIMMONS DONNA 703 MAIN STREET PATERSON NJ 07503-3079 973-754-2956 1871883942 SIMMONS MOLLIE 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1740640739 SIMMS NICHOLAS 3400 MAIN STREET SPRINGFIELD MA 01107-1113 413-794-9560 1316057409 SIMOES MEERA 900 WARREN AVENUE SUITE 101 EAST PROVIDENCE RI 02914-1430 401-919-5200 1851385058 SIMON EDDY 65 JAMES STREET EDISON NJ 08820-3947 800-645-3055 1689601080 SIMPSON HAROLD 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1114956661 SINGH AKHILESH 555 WILLARD AVE VA MEDICAL CENTER NEWINGTON CT 06111-2631 860-666-6951 1225354103 SINGH JASMEET 500 WESTCHESTER AVE MSK HARRISON WEST HARRISON NY 10604-6007 646-227-3742 1023436516 SINGH MANINDER 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1922340413 SINGH MAURA 20 YORK STREET YNHH GERIATRIC MEDICINE NEW HAVEN CT 06510-3220 203-688-9503 1275675076 SINGH MONA 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2329 1952718017 SINGH SHAILINDER 1901 FIRST AVENUE NEW YORK NY 10029-7404 718-924-2323 1952618720 SINGLETON MARISA 189 STORRS ROAD MANSFIELD CENTER CT 06250-1683 860-456-1311 1225393432 SISMANOPOULOS NIKOLAOS 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1427005255 SIVAPALAN VEL 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1306152632 SKEEHAN CHRISTOPHER 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-444-6779 1053769711 SLEAR ARON 30 LOCUST STREET NORTHAMPTON MA 01061-5001 508-482-9600 1780046920 SLOAN ARIEL 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7300 1346225166 SLONE RICHARD 82-68 164TH STREET SUITE 207 JAMAICA NY 11432-1121 718-924-2329 1841610664 SLOSHOWER JORDAN 300 GEORGE STREET YALE PSYCHIATRY NEW HAVEN CT 06511-6663 203-785-2095 1497140305 SMERKERS BRIAN 1 BOSTON MEDICAL CENTER PLACE BOSTON MA 02118-2908 617-414-7399 1063421329 SMITH ANGELA 800 CROSS RIVER ROAD KATONAH NY 10536-3549 914-763-8151 1225284599 SMITH BARRY 24 HOSPITAL AVENUE EMERGENCY DEPARTMENT DANBURY CT 06810-6099 203-739-7000 1760512966 SMITH BLAKE 888 SOUTH KING STREET HONOLULU HI 96813-3097 800-645-3055 UMASS MEMORIAL MEDICAL 1194277558 SMITH BRENDAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-441-6767 GROUP 1518995059 SMITH DAVID 55 LOCK STREET NEW HAVEN CT 06511-3603 203-432-0076 1740571256 SMITH EDWARD 1600 S ANDREWS AVE FORT LAUDERDALE FL 33316-2510 954-847-4572 1528226750 SMITH ELIZABETH 1305 POST ROAD SUITE 310 FAIRFIELD CT 06824-6018 203-259-7709 1881761260 SMITH JOANN 1261 POST ROAD SUITE 200 - A FAIRFIELD CT 06824-6072 203-255-0770 1194773093 SMITH MELINDA 555 WILLARD AVE NEWINGTON CT 06111-2631 860-666-6951 1790915031 SMITH MELODY 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1578923231 SMITH SEAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-793-6348 1669714788 SMITH STEPHEN 310 CEDAR STREET YUSM PATHOLOGY DEPT NEW HAVEN CT 06520-8070 203-688-9503 1366451155 SMITH THOMAS ONE TURKEY HILL ROAD SOUTH WESTPORT CT 06880-2621 646-737-2687 1689744799 SMUCKLER DANIEL 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1134174592 SNELLING LINDA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4201 1447342183 SNOW KEVIN CAREONE AT HOLYOKE 260 EASTHAMPTON RD HOLYOKE MA 01040-1213 413-538-9733 1891016564 SNYDER BENJAMIN 2 SOUTH MAIN STREET MILFORD MA 01757-5001 413-583-4966 1003916974 SNYDER CHRISTOPHER 40 COMMERCE PARK SUITE 1 MILFORD CT 06460-3506 203-878-3531 1104958438 SOBIERAJ WADHWA CHERYL 650 CHASE PARKWAY WATERBURY CT 06708-3046 203-597-8878 1609849728 SOCHA CHRISTY 111 SALEM TURNPIKE SUITE 7 NORWICH CT 06360-6459 860-859-2262 1710995287 SOKARIS STEPHEN 1101 NOTT ST. SCHENECTADY NY 12308-2425 800-645-3055 1891702379 SOLIMAN IBRAHIM 2601 OCEAN PKWY ROOM 3N17 BROOKLYN NY 11235-7745 718-616-4554 1144257445 SOLOF GREGORY 20 WEST AVON RD SUITE 101 AVON CT 06001-3540 860-874-8198 1710933460 SOLOMON GARY 698 WEST AVE REHABILITATION CONSULTS PC NORWALK CT 06850-3302 203-523-0100 1174902514 SONG ROBERT 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1457699431 SONG YOUNG 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1588652358 SOOD PARDEEP 5520 PARK AVENUE SUITE 303 TRUMBULL CT 06611-9999 410-329-1071 1891974945 SOOMRO AZIZ 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1487680831 SOOVAJIAN VICTORIA 149 HOLLAND LANE EAST HARTFORD CT 06118-1968 860-810-2777 1669575403 SORDO SARAH 750 BRUNSWICK AVENUE TRENTON NJ 08638-4143 609-815-7829 1194840272 SOUDER CHRISTOPHER 3790 E. WOODMEN RD COLORADO SPRINGS CO 80920-4139 800-645-3055 1891757738 SOWKA WILLIAM 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1407956378 SPANOLIOS PARIS 40 COMMERCE PARK SUITE 1 MILFORD CT 06460-3506 203-878-3531 1700038858 SPARTA KHRISTINE 1881 POST RD FAIRFIELD CT 06824-5721 203-255-1036 1093816175 SPECTOR GARY 40 COMMERCE PARK SUITE 1 MILFORD CT 06460-3506 203-878-3531 1215950662 SPELMAN JULIETTE 950 CAMPBELL AVENUE 11ACSL WEST HAVEN CT 06516-2770 866-808-7921 1558406983 SPERBER KEVIN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1235197328 SPERO LANE 245 ALVORD PARK ROAD TORRINGTON CT 06790-3493 860-482-8539 1396702205 SPITALNIC STUART 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1124164777 SPITZER MAUREEN 15 CHESTERFIELD ROAD SUITE 212 EAST LYME CT 06333-1736 860-739-5557 1942448782 SPRAGUE ADAM 3500 MAIN STREET SPRINGFIELD MA 01107-1137 413-794-0900 1780775577 SPROVIERO JOSEPH 148 EAST AVENUE STE 3G NORWALK CT 06851-5727 203-838-4034 1649596172 ST AMAND CHRISTOPHER 33 KENDALL STREET WORCESTER MA 01605-2726 508-334-8152 1245380575 ST JEAN KAREN 920 BROAD STREET HARTFORD CT 06260-2826 860-244-7960 1780768986 STA MARIA EDWARD 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1659706885 STAHL AMY 400 CAPITAL BLVD 3RD FLOOR ROCKY HILL CT 06067-3576 860-205-8716 MANCHESTER PEDIATRIC 1386612828 STALEY DEBORAH 231 MERROW ROAD TOLLAND CT 06084-3915 860-875-9856 ASSOCIATE 1528181088 STANLEY TYLER 970 FARMINGTON AVE SUITE 201 WEST HARTFORD CT 06107-2183 860-561-4300 1669436820 STARK JACK 132 MAIN ST DANBURY CT 06810-7863 203-794-1979 1760658264 STARKS JAMES 521 WEST 57TH STREET-4TH FLR NEW YORK NY 10019-2929 646-557-3847 1225180771 STARR CAROL 41 NORTH MAIN STREET SUITE 208 WEST HARTFORD CT 06107-1929 860-313-0818 1659539666 STCYR NICOLE 136 WEST MAIN STREET FIRST FLOOR NEW BRITAIN CT 06051-1315 860-826-4763 1033125166 STEELE DALE 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1356576516 STEELE DANIEL 80 HIGHLAND STREET LACONIA NH 03246-3235 603-524-3211
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1255689808 STEFANIK JENNIFER DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5450 617-632-2166 1114100047 STEIN EYTAN 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1609904960 STEIN SANDERS 2777 SUMMER ST SUITE 504B STAMFORD CT 06905-4318 203-324-0082 1346480472 STEINBERG BENJAMIN 30 LOCUST STREET NORTHAMPTON MA 01061-5001 508-482-9600 1962437871 STEINBERG JEREMY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-793-9166 1417069543 STEINHARDT MINDI 397 BRIDGEPORT AVE MILFORD CT 06460-4151 203-877-0112 1740215961 STEINMETZ JOHN 680 CENTRE STREET BROCKTON MA 02302-3308 508-941-0959 1093771404 STENGEL CHARLES 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-854-2504 1013369446 STERIADE CLAUDE 223 E. 34TH ST NEW YORK NY 10016-4852 516-663-2818 1821085382 STERLING ROBERT 120 EAST AVENUE SUITE 1 E NORWALK CT 06851-5703 203-410-6957 1821165317 STERNMAN DAVID 234 EAST 149TH STREET BRONX NY 10451-5504 718-924-2329 1235421181 STEVENS AMY 25 IMPERIAL AVE. WESTPORT CT 06880-4303 203-645-4562 1942711718 STEVENS ASHLEY 23 CEDAR STREET NEW BRITAIN CT 06052-1301 860-259-6952 1528185212 STEWART SARAH 489 STATE ST. BANGOR ME 04401-6616 800-645-3055 1649287665 STITELMAN MICHAEL 155 MEADOW ST BRANFORD CT 06405-3656 203-481-4637 1619497740 STOGSDILL ALICIA 801 N. LINCOLN AVE. MONETT MO 65708-6141 417-450-2420 1215315221 STOLLE ANDREW 4077 5TH AVE. SAN DIEGO CA 92103-2105 800-645-3055 1477034866 STONE CRISTINA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 203-645-8339 1427285741 STONE JACQUELINE 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 164-622-7376 1346440955 STONE JASON 401 15TH AVE SE PUYALLUP WA 98372-3715 702-473-8900 1316039019 STONE MELVIN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1528036894 STONE RICHARD 450 BROOKLINE AVENUE DANA-FARBER CANCER INSTITUTE BOSTON MA 02215-5418 617-632-5917 1750499448 STRATILATOVA MARIYA 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1881011435 STRATTON CORINNE 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-1886 1619966710 STRAUSS MARK 1000 WEST MORENO ST PENSACOLA FL 32501-2316 888-851-7590 1982038048 STRAYER TED 2440 WHITNEY AVE HAMDEN CT 06518-2601 203-281-5468 1669432258 STREETER GORDON 55 LOCK STREET NEW HAVEN CT 06511-3603 203-432-0076 1851654925 STRETZ HANNS 20 YORK STREET YNHH DEPT NEUROLOGY NEW HAVEN CT 06510-3220 203-688-4242 1891223103 STRIEBE KIERSTEN 4 CORPORATE DRIVE SUITE 386 SHELTON CT 06484-6240 203-538-5682 1619966652 STROBER BRUCE 21 SOUTH ROAD FARMINGTON CT 06030-6231 860-679-4600 1578596375 STROE ANGELA 75 SEMINARY HILL RD. CARMEL NY 10512-1921 845-225-3400 1124019815 STRONG VIVIAN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1316175565 STRUCKMAN TODD 915 E FIRST ST DULUTH MN 55805-2107 800-633-2243 1194123646 STRUTT MARK 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-7191 1457441321 STUCKEY ASHLEY 101 DUDLEY STREET PROVIDENCE RI 02905-2401 401-273-0641 1841550738 STUMP MARIAH 148 WEST RIVER STREET SUITE 1G PROVIDENCE RI 02904-2615 401-793-7817 1932197852 STUPAK HOWARD 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1649200676 STUPIK STEPHEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1356459093 SU EDWIN 535 EAST 70TH STREET NEW YORK NY 10021-4823 646-707-8471 1629362074 SUBAIYA SALEENA 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1538235163 SUBRAMANIAN SHIELA 173 EAST AVE NEW CANAAN CT 06840-5614 203-972-4236 1962474684 SUCSY ROBERT 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1083102982 SUH CHRISTINA 333 CEDAR STREET SUITE 329 FMB NEW HAVEN CT 06520-8063 203-785-6927 1861483414 SUHOCKI DAVID ADVANCED DERMATOLOGY CENTER 464 WOLCOTT ROAD WOLCOTT CT 06716-2626 203-879-6171 1972914554 SULEMAN NATASHA 234 EAST 149TH STREET ROOM 8D-200 BRONX NY 10451-5504 718-579-5006 HUSKY Health Connecticut Page 61 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1164516670 SULLIVAN CHRISTINE 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 516-458-7837 1649286774 SULLIVAN FRANCIS 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1578584165 SULLIVAN HEATHER 108 COUNTY ROAD EASTFORD CT 06242-0108 860-315-5740 1801130901 SULLIVAN JENNIFER 55 LAKE AVENUE NORTH WORCESTER MA 01655-0001 508-334-8152 1447570288 SULLIVAN PATRICK 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-444-6779 1114037504 SUNER SELIM 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1437193604 SUREDDI PRASAD 10 MAIN STREET SOUTH SOUTHBURY CT 06488-2260 203-264-6334 1255783270 SUSANTO KENNY 800 HOWARD AVENUE YALE PHYSICIANS'' BUILDING NEW HAVEN CT 06519-1369 203-785-4085 1700892833 SUTTON ELIZABETH 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6125 1780266643 SUTTON APRN CAROLINE 761 MAIN AVE SUITE 102 NORWALK CT 06851-0500 860-282-4128 1215352125 SWANCOAT STEVEN 1400 PELHAM PKWY S RM BS 35 BRONX NY 10461-1138 718-616-4555 1083886154 SWANSON SUSAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1669697454 SWEENEY LYNN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1013958057 SWORDS ROBERT 140 GLASTONBURY BLVD GLASTONBURY CT 06033-4402 860-869-1778 1043381056 SYDNEY ELANA 1400 PELHAM PKWY S SUITE 207 BRONX NY 10461-1138 718-924-2329 1639127749 SYLVIA LISA 29 LEWIS STREET GREAT BARRINGTON MA 01230-1713 413-447-2752 1073861324 SYMONS IAN 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-7191 1306163829 SYRKIN GRIGORY 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1366409450 SZAKACS GAIL 3 HOLLYHOCK RD WILTON CT 06897-4443 203-834-2813 1417020686 SZILAGYI NATHALIE 230 SOUTH FRONTAGE ROAD YALE MEDICINE CHILD STUDY CTR NEW HAVEN CT 06519-1124 203-737-7129 1114347051 SZUCHMACHER MARIANA 8714 5TH AVE BROOKLYN NY 11209-5204 516-663-2818 1083190243 SZUMSKA SYLWIA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-331-0660 1336123983 TABAR VIVIANE 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1275516288 TAFLER ALAN 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1174571194 TAFT JAMES 593 EDDY STREET APC 6 PROVIDENCE RI 02903-4923 401-793-9167 1881680296 TAFT LEESA 289 COUNTY ROAD WINDSOR VT 05089-9000 802-674-7333 1457435737 TAHER ABU 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1568453942 TAHIR NAEEM 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-3090 1417300112 TAI CHIN CHENG 58 OVERTON FARM RD SOUTHBURY CT 06488-2403 646-535-5416 1275995706 TAI PETER 4422 3RD AVE BRONX NY 10457-2545 800-645-3055 1013371756 TAILOR NEELAM 263 FARMINGTON AVE FARMINGTON CT 06030-1921 860-679-4700 1659839751 TALARICO ALEXANDER 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1467816033 TALIADOROS PARASREVI 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1154340792 TALLMAN MARTIN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3742 1306235940 TAMARIT ALEXANDER 11750 BIRD ROAD MIAMI FL 33176-3530 888-851-7590 1447412291 TAN AUDREY 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1265697254 TANA CHRISTOPHER 206 SECOND ST. EAST BRADENTON FL 34208-1042 702-473-8900 1174504856 TANDON MANISH 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1588740880 TANKE SUSAN 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1629041728 TANKSLEY RADFORD 111 SALEM TURNPIKE SUITE 7 NORWICH CT 06360-7403 860-859-2262 1467747246 TANNER STEVEN 400 PALMETTO HEALTH PARKWAY COLUMBIA SC 29212-1760 888-851-7590 1386900165 TARTAGLIONE JASON 455 TOLL GATE ROAD PRC-CREDENTIALING WARWICK RI 02886-2759 401-273-0641 1184935322 TASSINARI JULIA 11 FRIENDSHIP STREET NEWPORT RI 02840-2299 401-845-1652 1033314406 TAUSEVICH DAVID 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1750792321 TAYLOR GRAHAM 950 CAMPBELL AVE WEST HAVEN CT 06511-2770 434-962-1906 HUSKY Health Connecticut Page 62 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1124099890 TAYLOR JETER 3 MEDICAL PARK PALMETTO HEALTH RICHLAND COLUMBIA SC 29203-6863 614-267-9416 1003203936 TAYLOR JOSEPH 300 GEORGE STREET SUITE 901, ROOM 25 NEW HAVEN CT 06511-6662 203-785-2095 1669483939 TAYLOR STEPHANIE 300 SUMMIT ST TRINITY COLLEGE HEALTH CENTER HARTFORD CT 06106-3100 860-297-2018 1649452806 TAZELAAR JAMES 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1811222300 TEAPE DANIELLA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-8984 1558426478 TEEKING DENNIS 184 MT. PLEASANT RD NEWTOWN CT 06470-1408 203-426-0500 1215577366 TEIXEIRA DANIEL 2 MEDICAL CENTER DRIVE SUITE 301 SPRINGFIELD MA 01107-1270 413-794-8020 1932575370 TEO MIN YUEN 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 646-227-3764 1386958346 TERKELL SHANNON 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE RI 02915-5061 401-444-4171 1184157216 TERRY BRYAN 330 CEDAR STREET YALE GERIATRIC MEDICINE NEW HAVEN CT 06510-3218 203-737-8867 1154450450 TESLUK CATHERINE 240 BRADLEY ST NEW HAVEN CT 06510-1108 203-562-4942 1154388361 TESORO MICHAEL 152 EAST STREET SHARON CT 06069-2415 860-364-5615 UMASS MEMORIAL MEDICAL 1366795759 TESSIER TZAFRA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-3550 GROUP 1386750735 TESSLER AARON 652 BOSTON POST RD GUILFORD CT 06437-2770 203-453-4028 1578553830 TETTEY PEPPINO 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1518212828 THACHIL ROSY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1437361870 THAKKAR VATSAL 1720 POST RD E. SUITE 223 WESTPORT CT 06880-5643 203-220-6390 1013204080 THANKACHEN JINCY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1679624712 THARPE JACOB 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1659324515 THIBAULT PA MICHAEL 761 MAIN AVE SUITE 102 NORWALK CT 06851-3162 860-282-4128 1346883592 THIEL TAYLOR 1000 WHITE HORSE ROAD STE 802 VOORHEES NJ 08043-4414 856-324-3242 1306122494 THIESEN JENNIFER 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1770975310 THISSELL TURENNE ELIZABETH 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 UMASS MEMORIAL MEDICAL 1508304619 THOLE AMANDA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1720289200 THOMA DAVID 1 HOPSITAL PLAZA STAMFORD CT 06902-3602 203-276-7058 1417243098 THOMAS ANDREW 1 TAMPA GENERAL CIRCLE TAMPA FL 33606-3571 888-851-7590 1285692947 THOMAS ANTHONY 593 EDDY STREET APC 138 PROVIDENCE RI 02903-4923 401-444-5435 1770816175 THOMAS EMMA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1548566821 THOMAS MAVIS 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1558529255 THOMPSON KATHRYN 4 CORPORATE DRIVE SUITE 386 SHELTON CT 06484-6211 203-538-5682 1043233240 THOMSEN JEFFREY 55 TOWN LINE ROAD SUITE 202 WETHERSFIELD CT 06109-4352 860-529-5280 1861411530 THOMSON DONALD 725 NORTH ST PITTSFIELD MA 01201-4132 413-447-2726 1689609497 THORNTON KATHERINE 450 BROOKLINE AVENUE DANA FARBER CANCER INSTITUTE BOSTON MA 02215-5418 617-632-5917 1982694972 THORNTON LAURINE 211 PARK STREET ATTLEBORO MA 02703-3143 508-236-8139 1174676837 TIBERI THOMAS 3015 MAIN STREET BRIDGEPORT CT 06606-4215 203-365-0015 UMASS MEMORIAL MEDICAL 1023394657 TIEMO AEMI 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1740201854 TILMAN KERI 11 FRIENDSHIP ST NEWPORT RI 02840-2209 401-444-6779 1043531973 TIOLECO NINA 710 W 168TH ST 12TH FLOOR NEW YORK NY 10032-3726 212-305-9758 1982976791 TIWARI NIDHISH 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1275590150 TOBACK GREGORY 190 HEMPSTEAD STREET NEW LONDON CT 06320-6248 860-443-2428 1881773976 TOBKES JONATHAN 115 EAST 61ST STREET SUITE 7F NEW YORK NY 10065-8185 212-861-0763 VA CONNECTICUT HEALTHCARE 1275515371 TOKUNO HAJIME 950 CAMPBELL AVE WEST HAVEN CT 06516-2770 203-937-4724 SERV
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1760702047 TOLEDANO TALYA 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1720421472 TOLLEY JESSICA 11705 MERCY BLVD SAVANNAH GA 31419-1711 800-645-3055 1841349883 TONDREAU JOSEPH 363 HIGHLAND AVENUE FALL RIVER MA 02720-3703 508-973-3584 1750853115 TORCHIA NICOLE 759 CHESTNUT ST SPRINGFIELD MA 01107-1619 413-794-6297 CHILD & ADOLESCENT 1912393935 TORETTA CARA 20 YORK STREET NEW HAVEN CT 06510-3220 203-737-7129 PSYCHIATRY 1508122748 TORTOLANI BESS 725 NORTH STREET PITTSFIELD MA 01201-4019 413-447-2726 1619205341 TOWLE ANTOINETTE 80 PROSPECT ST WATERBURY CT 06708-1327 203-506-8909 1780769919 TRACY TODD 40 COMMERCE PARK SUITE 1 MILFORD CT 06460-3506 203-878-3531 1780659292 TRACY III DMD DANIEL 100 FANNING AVENUE NORWICH CT 06360-2943 860-892-4996 1659734127 TRAFTON SARAH DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVENUE BOSTON MA 02215-5418 617-632-5917 1134433725 TRAN CAO 2 DUDLEY STREET PROVIDENCE RI 02905-3236 401-453-4500 1821304163 TRAN MARY 200 STONECREST BLVD. #155 SMYRNA TN 37167-6810 727-458-1233 1104333061 TRAN THUC 601 E ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1912910001 TRAUB STEPHEN 593 EDDY ST PROVIDENCE RI 02903-4923 401-444-6779 1447396973 TREADO ROBERT 670 EAST ROAD BRISTOL CT 06010-6845 860-589-0874 1649465998 TREMBLAY JUSTIN 71 EAST CENTER ST MANCHESTER CT 06040-5201 860-763-2225 1053708016 TREVINO JESUS 900 23RD STN W WASHINGTON DC 20037-2327 702-473-8900 1225011844 TRIGENIS EMMANUEL 452 OLD STREET ROAD PETERBOROUGH NH 03458-1263 603-924-7191 1750708103 TRIVEDI ANJUA 1 CAPITAL WAY PENNINGTON NJ 80534-2520 215-442-5084 1376638254 TRODDYN MICHAEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1396198420 TROSHIN VLADISLAV 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1922612621 TROWBRIDGE JUSTINE 2 MEDICAL CENTER DRIVE SUITE 503 SPRINGFIELD MA 01107-1270 413-794-5600 1720098247 TROWBRIDGE RANDY 22 EAGLE ROAD DANBURY CT 06810-4129 203-778-8326 1073684361 TRUPIANO PHILIP 455 TOLL GATE ROAD WARWICK RI 02886-2759 401-273-0641 1609850742 TSENG DANIEL 57 NORTH STREET STE 210 DANBURY CT 06810-5660 203-792-3316 1356395966 TUBBS ROBERT 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1275648552 TUCKER EDWARD 67 NORTH MAIN ST ESSEX CT 06426-0132 860-767-1411 1801275243 TUCKER FREDERICK 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1558655134 TUCKER VERONICA 80 HIGHLAND STREET LACONIA NH 03246-3235 603-524-3211 1952358541 TUGGLE LYNN 200 STONECREST BLVD. #155 SMYRNA TN 37167-6810 727-458-1233 1851487649 TULSKY JAMES 450 BROOKLINE AVE DANA FARBER CANCER INSTITUTE BOSTON MA 02215-5418 617-632-6464 1861584575 TUMENIUK ALEXANDER 345 BOSTON POST ROAD MILFORD CT 06460-2528 203-876-2696 1972799799 TUNG DAVID 3180 MAIN ST, SUITE 303 CORE PHYSICAL THERAPY BRIDGEPORT CT 06606-4237 203-373-1593 1891870895 TURKIEH ALBERT 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1356312854 TUTTLE ROBERT 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1154383842 TYER JAMES 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1801133681 UNDERWOOD AMANDA 46 FAIRVIEW AVE SKOWHEGAN ME 04976-0468 623-241-8312 1316101793 UPPAL ANJANA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1306200159 UWOGHIREN KELLY 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1518098375 UY GEORGE 800 CROSS RIVER ROAD KATONAH NY 10536-3549 914-763-8151 1619278132 UYEKLIONG MARC 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 415-547-5151 1598844664 VALDES GILBERT 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1861842593 VALDES KAREN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1508932294 VALENTINE JOHANNAH 111 SALEM TURNPIKE SUITE 7 NORWICH CT 06360-7403 860-859-2262
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1245437714 VALERAS ANDREW 250 PLEASANT STREET CONCORD NH 03301-7539 603-228-7200 1932497328 VALLEE LEANNE 83 SOUTH STREET WARE MA 01082-1660 413-967-2040 1336110063 VAN DEN BRINK MARCEL 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1699963884 VAN METER CHARLES 2215 BURDETT AVENUE TROY NY 12180-2466 800-645-3055 1316107022 VAN NESS-OTUNNU RONALD 211 PARK STREET ATTLEBORO MA 02703-3143 508-236-8139 1982760823 VANCURAN KEITH 173 MIDDLE STREET LANCASTER NH 03584-3508 508-482-9600 1487992343 VANDERVELDE KRISTEN 601 E. ROLLINS STREET ORLANDO FL 32803-1248 800-645-3055 1215121587 VANNI JANE 759 CHESTNUT STREET S4628 SPRINGFIELD MA 01107-1619 413-794-5550 1689180952 VARGAS ARMAND 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1407255375 VARMA PATRICIA 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-691-3389 1932126398 VARZOS KATINA 189 ORANGE STREET NEW HAVEN CT 06510-3604 203-937-2309 1558425678 VASILE JULIE 1290 SUMMER ST SUITE 2200 STAMFORD CT 06905-5339 203-965-0656 1225589625 VAUGHAN ADAM 759 CHESTNUT STREET S4628 SPRINGFIELD MA 01107-1619 413-794-5550 1336193531 VAUGHN LAURA 400 PALMETTO HEALTH PARKWAY COLUMBIA SC 29212-1760 888-851-7590 1255449716 VAZQUEZ BLANCA 223 EAST 34TH ST. 14 WALL STREET, 9TH FLOOR NEW YORK NY 10016-4852 646-207-5287 1346336617 VEACH STEPHEN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1124274204 VEGA ROXANA 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1497744940 VEINOGLOU GEORGE 29 LEWIS STREET GREAT BARRINGTON MA 01230-1713 413-447-2726 1942351861 VELASCO ANDRES 40100 HIGHWAY 27 DAVENPORT FL 33837-5906 800-645-3055 1780870659 VELASQUEZ ADRIAN 11 FRIENDSHIP STREET NEWPORT RI 02840-2209 401-846-6400 1144608431 VELIZ SERGIO 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 UMASS MEMORIAL MEDICAL 1750743894 VENDRYES DYLAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1528090685 VERBUCH ROBERT 2601 OCEAN PARKWAY 140 BRONX NY 11235-7745 718-924-2329 1932496098 VERMA POOJA 455 TOLL GATE ROAD WARWICK RI 02886-2759 401-273-0641 1629448378 VERROS CHELSEA 5300 KIDSPEACE DRIVE OREFIELD PA 18069-2044 610-799-8130 1861495681 VERSEA LINDA 24 STEVENS ST WHITTINGHAM CANCER CENTER NORWALK CT 06850-3852 203-852-2000 1477630648 VICKERS JEAN 200 SE HOSPITAL AVE STUART FL 34994-2346 800-645-3055 1578179156 VIEIRA GUILHERME 396 CROMWELL AVENUE ROCKY HILL CT 06067-1841 716-389-3219 1891059101 VIGURI ADELAIDE 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1760905723 VINIK KEVIN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-8152 1922411628 VIRADIA RAVI 195 EASTERN BOULEVARD STE. 200 GLASTONBURY CT 06033-4353 860-781-6294 1417147406 VISCHIO JOHN 195 EASTERN BLVD SUITE 201 GLASTONBURY CT 06033-4353 860-246-4260 UMASS MEMORIAL MEDICAL 1801396262 VITALE NICHOLAS 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1295089357 VOGT BELLA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-3278 1023102068 VON BLEICKEN JACLYN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1457853301 VONA JARED 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1013998244 VOSS KERSTIN 29 LEWIS AVENUE GREAT BARRINGTON MA 01230-1713 413-881-5427 NEW CANAAN PERSONAL 1639245269 VOYTOVICH JULIA 173 EAST AVENUE NEW CANAAN CT 06840-5614 203-972-4236 MEDICINE 1790769891 VU BACH 2601 OCEAN PARKWAY BRONX NY 11235-7745 718-924-2329 1477968188 WADHWA ANANT 20 YORK STREET YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1376868406 WAIGHT GINA 1400 PELHAM PKWY S 140 BRONX NY 10461-1138 718-924-2329 1740226984 WAITE MARYBETH 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE RI 02915-5061 401-432-1000 1891102299 WALKER JILL 1 BLACHLEY ROAD 2ND FLOOR STAMFORD CT 06902-0003 203-276-8479 HUSKY Health Connecticut Page 65 of 70 10/1/2021 7:00:19 AM OPR Provider Listing (Ordering/Prescribing/Referring)
NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1285133231 WALKER KATIE 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-6173 1356854525 WALKER LYNNE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 1740345719 WALL STEPHEN 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1609838689 WALLINGTON DALE 1216 FARMINGTON AVE SUITE 303 WEST HARTFORD CT 06107-2673 860-313-0134 1558357400 WALLS FURMAN 800 WASHINGTON STREET BOSTON MA 02111-1552 800-883-9986 UMASS MEMORIAL MEDICAL 1437475928 WALLS KRISTEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1699869644 WALSH KATHLEEN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1427385319 WALSH SHANNON 1250 EAST MARSHALL STREET RICHMOND VA 23298-5051 800-645-3055 UMASS MEMORIAL MEDICAL 1114313707 WANG CHARLOTTE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-442-6534 GROUP 1710102231 WANG CHUN 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1194920702 WANG JESSICA 1400 PELHAM PKWY S ROOM BS35 BRONX NY 10461-3118 718-918-3043 1649217803 WANG LI JUAN 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-444-5152 1598880031 WANG SUSAN 2068 BRIDGEPORT AVE. MILFORD CT 06460-4634 203-701-6787 1962449512 WANG TIMOTHY 136 WEST MAIN STREET FIRST FLOOR NEW BRITAIN CT 06051-1315 860-826-4763 1992099980 WANJIKU GRACE 593 EDDY ST PROVIDENCE RI 02903-4923 401-444-4000 1386626133 WARMAN MARC 409 MOUNTAIN LAUREL ROAD FAIRFIELD CT 06824-2424 203-216-0178 1285898890 WARREN OTIS 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1942268685 WARSHAVER YEMINA 234 E149TH STREET BRONX NY 10451-5504 718-924-2323 1487792305 WASKO KIM 140 WILLOW STREET SUITE 2 SUITE 2 WINSTED CT 06098-2092 860-379-4809 1336593003 WAT MONICA 1400 PELHAM PKWY S ROOM BS35 BRONX NY 10461-3118 718-918-3043 1265692784 WATSON JAMES 363 HIGHLAND AVE FALL RIVER MA 02720-3703 508-973-3584 1881866887 WATSON JOCELYN 355 NEW SHACKLE ISLAND RD HENDERSONVILLE TN 37075-2479 727-507-3609 1538405923 WATSON MICHELLE 30 SHELBURNE RD STAMFORD CT 06902-3628 203-276-7058 1588142939 WAY VICTORIA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1831638782 WAYSHVILLE RICHARD 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1285091850 WEBBER KARENA 100 HOSPITAL DRIVE BENNINGTON VT 05201-5004 802-447-4509 1386781722 WEBBER PATRICIA 181 PARK AVE SUITE 16 WEST SPRINGFIELD MA 01089-3365 413-256-0100 1730104555 WEBBER RONALD 100 WALLACE AVE., STE 250 SARASOTA FL 34237-6402 941-361-3050 1689676405 WEEKS LONG JANIE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1467809319 WEI ELIZABETH 20 YORK STREET YNHH PEDIATRICS CRITICAL CARE NEW HAVEN CT 06510-3220 203-785-4651 1962057489 WEICKERT ELEANOR 33 KENDALL STREET WORCESTER MA 01605-2726 508-334-8152 1265894554 WEIGHTMAN ADAM ONE GENERAL STREET LAWRENCE MA 01841-2961 978-683-4000 1376561282 WEIGNER MARILYN 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5891 1649343807 WEINER GAIL 8 W END AVE OLD GREENWICH CT 06870-1642 203-637-3212 1558703892 WEISKOPF ELIZABETH DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215-5418 617-632-2044 1619052131 WEISS DAVID 1211 WHITE PLAINS RD BRONX NY 10472-4900 718-628-6610 1649484445 WEISS ERICA 303 WHITNEY AVE NEW HAVEN CT 06511-3765 203-376-1165 1871500793 WEISS JOSEPH 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-444-6779 1649307778 WEISS WUERTH JANA 175 COPSE RD MADISON CT 06443-2323 203-245-2778 1871511725 WELBY MELISSA 99 CHERRY ST UNIT D MILFORD CT 06460-3455 203-906-6294 1174741656 WELCH JENNIFER 593 EDDY STREET HASBRO LOW LEVEL PROVIDENCE RI 02903-4923 401-444-4471 1508887290 WELLNER MURRAY 10 DALE STREET WEST HARTFORD CT 06107-1815 860-521-9451 1750319273 WELLS JESSE 1800 WEST CHARLESTON BLVD LAS VEGAS NV 89102-2329 385-695-1656
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1588720247 WELSH BARBARA 30 TRUMAN WAY ROCKY HILL CT 06067-2070 860-257-1020 1851461214 WENICK GARY 2050 ROUTE 22 BREWSTER NY 10509-5948 914-242-5621 1225265028 WERELY JENNIFER 500 WEST PUTNAM AVE SUITE 400 GREENWICH CT 06830-6096 203-900-4226 1417277328 WERMERT ANASTASIA 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE RI 02915-5061 401-432-1000 1295783819 WESPISER ROBERT 620 LAUREL STREET LAUREL LAKE NURSING HOME LEE MA 01238-9316 413-243-0122 1992703904 WESTBROOK ANNICK 250 PLEASANT STREET CONCORD NH 03301-7539 603-228-7200 1518254366 WESTMORELAND ADRIANNE 512 SKYLINE BLVD. CLOQUET MN 55720-3787 800-645-3055 1346431657 WESTPHAL ALEXANDER 34 PARK STREET NEW HAVEN CT 06519-1109 860-381-9880 1629019187 WEXLER BRIAN 1001 SAM PERRY BLVD. FREDERICKSBURG VA 22401-4453 800-645-3055 1780681064 WHALEN JAMES 21 SOUTH ROAD UCONN MEDICAL GROUP FARMINGTON CT 06032-6231 860-679-4600 1104278472 WHEELER AARON 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1386706372 WHIKEHART DOUGLAS 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1598703332 WHITALL RUTH 100 CENTURY DRIVE WORCESTER MA 01606-1244 508-762-5400 1437485182 WHITE CHRISTOPHER 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-637-9034 1407017684 WHITE JOSHUA 246 PLEASANT STREET SUITE 104 CONCORD NH 03301-2548 603-230-1939 1659853786 WHITE JUSTIN 736 IRVING AVENUE SYRACUSE NY 13210-1690 800-645-3055 1972531838 WHITING CLAYTON 4077 5TH AVE. SAN DIEGO CA 92103-2105 800-645-3055 1164454088 WHITNEY KEYNA 40100 HIGHWAY 27 DAVENPORT FL 33837-5906 800-645-3055 UMASS MEMORIAL MEDICAL 1588166078 WHITNEY SAMUEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1962816736 WHOLEY JANET 115 WEST SILVER STREET WESTFIELD MA 01085-3628 413-568-2811 1841239837 WHYNOT JAMES 200 GROTON ROAD AYER MA 01432-1168 617-789-5104 1124087903 WICHMANN EUGEN 55 WHITING ST. SUITE 2C PLAINVILLE CT 06062-2262 860-747-5529 1730496415 WICKRAMASINGHE HETTI 1850 TOWN CENTER PKWY RESTON VA 20190-3219 888-851-7590 MEMORIAL BLDG, WEST, GROUND 1215092440 WICKS CHARLES 246 PLEASANT STREET CONCORD NH 03301-2548 603-224-6070 FL YNHH DEPT EMERGENCY 1932596087 WIDDICOMBE ABBOTT 464 CONGRESS AVE NEW HAVEN CT 06519-1361 203-785-5174 MEDICINE 1255520219 WILBER KELLY 11 SOUTH ROAD STE. 250 FARMINGTON CT 06030-2484 860-674-0222 1558417576 WILCOX GREGG 47 BINGHAM ROAD CANTERBURY CT 06331-1924 860-208-8401 1528445848 WILCOX JEFFREY 1400 PELHAM PKWY S SUITE 207 BRONX NY 10461-1138 718-924-2329 1346761418 WILCOX KELSEY 23 WAUREGAN RD BROOKLYN CT 06234-1924 860-774-0876 1952327629 WILDER JASON 160 HAWLEY LANE SUITE 201 TRUMBULL CT 06611-5300 203-377-0819 1942646161 WILEY MELORA 1 LONG WHARF DRIVE YNHH PEDIATRIC DEVELOPMENT NEW HAVEN CT 06511-5991 203-785-7521 1821577594 WILLARD MATTHEW 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1063739985 WILLIAMS ARTHUR 240 CENTRAL PARK SOUTH SUITE 2A NEW YORK NY 10019-1429 347-857-8015 1649642166 WILLIAMS BARRINGTON 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1073589396 WILLIAMS CARLA 159 WEST PUTNAM AVENUE GREENWICH CT 06830-5329 203-869-7080 1861686834 WILLIAMS DAVID 355 NEW SHACKLE ISLAND ROAD HENDERSONVILL TN 37075-2479 727-507-3609 1376907154 WILLIAMS FLORA 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2323 1568548790 WILLIAMS JANSSEN 1700 MEDICAL WAY SNELLVILLE GA 30078-2195 727-437-0818 1235159583 WILLIAMS JR JOSEPH 72 NORTH ST, SUITE 103 DANBURY CT 06810-5653 203-748-1200 1811159452 WILSON JASON 1 TAMPA GENERAL CIRCLE TAMPA FL 33606-3571 888-851-7590 UNIVERSITY EMERGENCY 1184984072 WILSON TANEISHA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-854-2504 MEDICINE 1407996986 WINACOO JEFFREY 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1255665816 WINANS AUDREY 800 WASHINGTON STREET BOSTON MA 02111-1552 617-636-8137 1033270988 WINIARSKI STEVEN 21 E 4TH STREET NEW YORK NY 10003-7012 302-313-1584 1922186840 WINTERS THOMAS 1385 HANCOCK ST QUINCY MA 02169-5103 617-770-7882 1902874449 WISOR DOUGLAS 67 SANDPIT RD STE. 308 DANBURY CT 06810-4032 410-329-1071 1881811008 WITHERBY SABRINA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-5435 1932553898 WITKOVIC MATTHEW 400 CAPITAL BLVD ROCKY HILL CT 06067-3576 860-833-3513 1346355989 WITTENBERG ALISON 60 WASHINGTON AVENUE SUITE 102 HAMDEN CT 06518-3203 203-407-6444 1801056544 WOELZLEIN DEVIN 408 HAZEN STREET PAW PAW MI 49079-1019 800-633-2243 1447413505 WOHLRAB KYLE 101 DUDLEY STREET 5TH FLOOR PROVIDENCE RI 02905-2401 401-273-0641 1851474068 WOJCIK JOHN 3300 MAIN STREET 3RD FL, SUITE C&D SPRINGFIELD MA 01107-1112 413-794-5600 1588929046 WOLFF MARISA 18 CONGRESS ST STE 2 SARATOGA SPRINGS NY 12866-4172 518-350-4694 1568996122 WOLFGANG AARON 34 PARK ST RM 150 NEW HAVEN CT 06519-1109 203-974-7300 1437143237 WOLK LARRY 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1316338668 WOLLER RICHARD 3300 MAIN STREET 3RD FL, SUITE A&B SPRINGFIELD MA 01107-1112 413-794-7364 1013175439 WON ELIZABETH 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-3200 646-227-3764 1437684669 WONG DAVID 5353 REYNOLDS ST SAVANNAH GA 31405-6015 800-645-3055 1487975033 WONG LAMA KIM 506 LENOX AVENUE NEW YORK NY 10037-1889 718-924-2329 1366460339 WOO ALBERT 593 EDDY STREET PROVIDENCE RI 02903-4923 401-606-1248 1548374960 WOO DAVID 515 MADISON AVENUE RM 2310 NEW YORK NY 10022-5403 917-513-8537 1033323258 WOODBURY ROBERT 1200 EAST PUTNAM AVENUE RIVERSIDE CT 06878-1430 203-637-8114 1568467132 WOOL ROBERT 65 SPRINGFIELD RD WESTFIELD MA 01085-4514 413-562-8306 1790226421 WOOMER SUZANNE 41 NAUGATUCK AVENUE MILFORD CT 06460-6037 203-881-6007 1003182973 WOON YI-LOONG 234 E149TH STREET BRONX NY 10451-5504 718-924-2329 1215582796 WOS JUSTYNA 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-3233 1992347397 WRAIGHT SHEENA 2701 TAMARACK AVENUE SOUTH WINDSOR A CT 06074-5562 860-375-5141 1922084078 WRIGHT AMY 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1952546012 WRIGHT GENEVIEVE 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1114452950 WRIGHT NORA 3401 NORTH BROAD STREET PHILADELPHIA PA 19140-5103 480-977-3271 1194012138 WRIGHT SHAWNA 6245 INKSTER ROAD GARDEN CITY MI 74135-4001 918-203-0114 1003236852 WU ERIC 3790 E. WOODMEN RD. COLORADO SPRINGS CO 80920-4139 800-645-3055 1528293362 WU SHIRLEY 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1568031128 WYLLIE KIERNAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348 1124199708 WYNN PE 800 CROSS RIVER RD KATONAH NY 10536-3549 914-763-8151 1295969715 XELLER KRISTEN 697 POMFRET ST POMFRET CENTER CT 06259-1139 860-315-5400 1447209895 XIONG YUTING 970 SUMMER STREET 2ND FLOOR STAMFORD CT 06905-5518 203-324-2128 1992841167 XU WEI 100 WELLS STREET SUITE 1B HARTFORD CT 06103-2920 860-249-4466 1174955744 YABIDI VICTOR 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1013959774 YAKOBI SHVILI RAMY 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 UMASS MEMORIAL MEDICAL 1609335850 YAKUZE ERIC 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1750337796 YALCINDAG ALI 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1063511210 YALE ABRAHAM 1881 POST RD FAIRFIELD CT 06824-5721 203-255-1036 1053514232 YALLA SURYA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1194111617 YANCOPOULOS KAREN 31 RIVER RD COS COB CT 06807-2152 203-863-2003 1538541560 YANG KUN 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-4489
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1356594410 YANIK THOMAS 2 CONCORDE WAY, BLDG 1 WINDSOR LOCKS CT 06096-1577 860-623-1116 1265775084 YARNELL STEPHANIE 300 COLLEGE STREET YUSM DEPT OF PSYCHIATRY NEW HAVEN CT 06511-0805 203-785-2094 UMASS MEMORIAL MEDICAL 1881920205 YARZEBSKI KATE 119 BELMONT STREET WORCESTER MA 01605-2903 508-334-6477 GROUP 1447242102 YEE ARTHUR 28 COACHLAMP LANE GREENWICH CT 06830-4003 203-622-2939 1427091966 YEE CONWAY 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1831736396 YEE JONATHON 759 CHESTNUT STREET SPRINGFIELD MA 01107-1619 413-794-6297 1952461550 YEGER-MCKEEVER MEIRA 1645 CHAMPLIN AVENUE UTICA NY 13502-4380 315-625-5169 1043576747 YEH JUDY 20 YORK ST. YNHH TOMPKINS 226 NEW HAVEN CT 06510-3220 203-688-9503 1457373862 YEH RONALD 1600 S ANDREWS AVE FORT LAUDERDALE FL 33316-2510 800-633-2243 1467445072 YERDON MCLEOD ANGELA 250 PLEASANT STREET CONCORD NH 03301-7539 603-228-7200 1831577303 YERMAKOV OLEG 3300 MAIN STREET 3RD FLOOR, SUITE C&D SPRINGFIELD MA 01107-1112 413-794-5600 1689607434 YEROUSHALMI MASOOD 2601 OCEAN PARKWAY APT 1F BROOKLYN NY 11235-7745 718-924-2329 1780068437 YERRAGORLA PRIYANKA 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-4000 1952657629 YIN VIVIAN 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3742 1811954746 YOUNG AMY 2876 MAIN STREET STRATFORD CT 06614-4984 203-696-6125 1356660286 YOUNG COLIN 20 YORK STREET DEPT OF RADIOLOGY NEW HAVEN CT 06510-3220 203-688-9503 1427144625 YOUNG JAMES MSKCC 1275 YORK AVENUE NEW YORK NY 10065-9321 646-227-3764 1639488745 YOUNG JENNIFER 84 HOSPITAL AVE DANBURY CT 06810-6047 203-769-1312 1326177155 YOUNG TESFA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1619153996 YOUSSEF EIAD 75 BEEKMAN STREET PLATTSBURGH NY 12901-1438 800-645-3055 1750325494 YU DANIEL 727 NORTH BEERS STREET HOLMDEL NJ 07733-1514 623-241-8324 1871791665 YU HELENA 1275 YORK AVE MEMORIAL SOLID TUMOR GROUP NEW YORK NY 10065-6007 646-227-3742 1831522184 YUN HO 2 MEDICAL CENTER DRIVE SUITE 503 SPRINGFIELD MA 01107-1270 413-794-5600 1710908306 YUN RICHARD 400 PROSPECT STREET NEW HAVEN CT 06511-2181 203-909-6370 1770556185 ZAFAR UZMA 2075 E FLAMINGO RD LAS VEGAS NV 89119-7442 702-473-8900 1043203995 ZAIDMAN GERALD 40 SAW MILL RIVER ROAD SUITE FB2 HAWTHORNE NY 10532-1528 914-579-2345 1457515603 ZAINAH HADEEL 455 TOLL GATE RD WARWICK RI 02886-2759 401-737-7000 1598033219 ZAMBARANO SARAH 17 HOPE STREET NIANTIC CT 06037-2447 860-451-9650 1831299882 ZARKOWSKY FRANK 21 ADAMS RD RIDGEFIELD CT 06877-5929 203-438-2309 1396858288 ZATMAN MARINA 122 S POMPERAUG AVE STE 2B WOODBURY CT 06798-3708 203-314-1986 1588175442 ZAW NINI 800 CROSS RIVER ROAD KATONAH NY 10536-3549 914-763-8151 1023664109 ZAWALICH DANIEL 8 BURNHAM STREET TURNERS FALLS MA 01376-1816 413-774-3751 1528432317 ZAWROTNIAK PETER 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1972527646 ZEITLIN KEITH 850 N. MAIN STREET EXT. BUILDING 2, SUITE 3C WALLINGFORD CT 06492-2469 203-284-1119 1841261351 ZELENETZ ANDREW 1275 YORK AVE 633 3RD AVE 3RD FL NEW YORK NY 10065-6007 164-622-7376 1528314580 ZELIKSON DMITRIY 111 CENTRAL AVE. NEWARK NJ 07102-1909 800-377-8721 1962455311 ZELMAN ARTHUR 101 ROCKLAND AVE MAMARONECK NY 10543-3307 914-698-3210 1063458859 ZELMAN JARED 11 INTERLAKEN ROAD LAKEVILLE CT 06039-2096 860-435-3226 1851816599 ZENER REBECCA 1400 PELHAM PKWY S BRONX NY 10461-1138 718-924-2329 1306057963 ZERVOUDAKIS ALICE 500 WESTCHESTER AVE MSK HARRRISON WEST HARRISON NY 10604-6007 646-227-3742 1598080962 ZEUREN REBECCA 1275 YORK AVE NEW YORK NY 10065-6007 646-227-3764 1851798631 ZHANG BRYAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-856-3266 1689932071 ZHANG YACHAO 1400 PELHAM PKWY S SUITE 207 BRONX NY 10461-1138 718-924-2329 1225477896 ZHU SHENJUN 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500
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NPI Last Name First Name Service Address Line 1 Service Address Line 2 City State Zip Code Phone Number 1477589174 ZIANIO LELA 400 CAPITAL BLVD ROCKY HILL CT 19713-3101 860-652-5481 1356379390 ZIENOWICZ RICHARD 164 SUMMIT AVENUE PROVIDENCE RI 02906-2853 401-793-2500 1730269317 ZILAHY PETER 35 CANDEE HILL RD WATERTOWN CT 06795-3101 860-274-9641 UMASS MEMORIAL MEDICAL 1003275892 ZINKUS DANIEL 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 774-443-7552 GROUP 1386115970 ZINN KATIE 1817 BLACK ROCK TURNPIKE SUITE 205 FAIRFIELD CT 06825-3504 717-825-4545 1235180852 ZONFRILLO MARK 593 EDDY STREET PROVIDENCE RI 02903-4923 401-444-6779 1821528506 ZUCKER SUSAN 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-334-6173 1932684974 ZUGIBE KAITLYN 30 BUXTON FARM ROAD STAMFORD CT 06905-1206 203-914-1900 1366995565 ZULFIQAR MARYAM 230 S FRONTAGE RD YALE CHILD STUDY CENTER NEW HAVEN CT 06519-1124 203-848-5599 1174766216 ZUNIGA FEDERICO 462 FIRST AVENUE NEW YORK NY 10016-9196 718-924-2329 1831229822 ZUPCAK RICHARD 506 LENOX AVE KOUNTZ PAVILLION, RM 633 NEW YORK NY 10037-1889 212-939-3501 1225059116 ZWAS FELICE 15 VALLEY DRIVE 3RD FLOOR GREENWICH CT 06831-5205 203-489-6900 1740772169 ZYCHOWICZ AMALIA 55 LAKE AVENUE NORTH WORCESTER MA 01655-0002 508-793-6348
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