DR. DANIEL PETER PETRYLAK


Address: 35 Park Street, Np-4, New Haven, CT 06510-1110
Phone: 2032004822

DR. DANIEL PETER PETRYLAK (NPI# 1659387306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659387306
Entity Type Individual
Full Name DR. DANIEL PETER PETRYLAK
Credential M.D.
Practice Address 35 Park Street, Np-4
New Haven
CT 06510-1110
Mailing Address 789 Howard Ave, Fmp312
New Haven
CT 06519
Practice Telephone 2032004822
Mailing Telephone 2037378076
Mailing Fax Number 2037854043
Enumeration Date 2006-08-01
Last Update Date 2014-02-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
164174 NY Allopathic & Osteopathic Physicians
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
51405 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01412344 05

Office Location

Street Address 35 PARK STREET, NP-4
City NEW HAVEN
State CT
Zip Code 06510-1110

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336757319 Matthew Peter O'connell Pharmacist 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 2020-07-16
1477171460 Huy Henry Le Pharmacist 20 York Street, Ps-ll, New Haven, CT 06510 2020-07-07
1144855263 Daniel Jacobs Student in an Organized Health Care Education/Training Program 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 2020-03-09
1346898467 Cem Cengiz Internal Medicine Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 2019-09-02
1295292290 Emily Elizabeth Samuel Counselor 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 2019-02-26
1639652779 Laura Goldblum Social Worker 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 2018-09-14
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1508356759 Rebecca Anne Beagan Student in an Organized Health Care Education/Training Program 20 York Street- Pediatrics, New Haven, CT 06510 2018-05-14
1104316405 Emma Sophie Taylor-salmon Student in an Organized Health Care Education/Training Program 20 York Street - Pediatrics, New Haven, CT 06510 2018-05-14
1376033563 Wael S Ibrahim Student in an Organized Health Care Education/Training Program 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 2018-05-14
Find all providers in zip 06510

Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083932578 Yu Zhang Internal Medicine Smilow Cancer Hospital, 20 York Street, Np4, New Haven, CT 06510 2010-05-10
1538328778 Mandar Deepak Muzumdar Internal Medicine Smilow Cancer Hospital, 35 Park Street, New Haven, CT 06511 2008-06-03
1225121932 Pamela Lyn Kunz Internal Medicine Yale Medical School, 333 Cedar Street, New Haven, CT 06510-8028 2006-10-02
1073619490 Anne C Chiang Internal Medicine 200 York Street, Np15-304, Yale University School of Medicine, New Haven, CT 06520 2006-09-15
1730374562 Tara B Sanft Internal Medicine 333 Cedar St, Lmp 1072b, New Haven, CT 06510-3206 2007-09-14
1437241510 Lajos Pusztai Internal Medicine 20 York Street, New Haven, CT 06520-3220 2006-09-28
1205807948 Diamando Psyrri Internal Medicine 800 Howard Ave, Yale Physician's Building - 2nd Floor, New Haven, CT 06519-1369 2006-01-31
1528042819 Harriet Margot Kluger Internal Medicine 800 Howard Ave, Yale Physicians Building 2nd Floor, New Haven, CT 06519-1369 2005-12-01
1396726113 Michael E Hurwitz Internal Medicine 333 Cedar St, Yale University School of Medicine, New Haven, CT 06510 2005-11-09
1053392951 Jill Lacy Internal Medicine 800 Howard Ave, Yale Physicians Bldg-2nd Floor, New Haven, CT 06519-1369 2005-11-08
Find all providers in NEW HAVEN

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City NEW HAVEN
Zip Code 06510

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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