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OPR Provider Listing (Ordering/Prescribing/Referring) 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
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