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Contact Information

ANDREW T PICKENS IV, MD
YALE MEDICAL SCHOOL
333 CEDAR ST.
NEW HAVEN, CT06511
 Phone: 203-789-3464
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ANDREW T PICKENS IV · (Male)

NPI Number 1235350513
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2007
Last updated 04/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 61664
  • NC License # 2008-00003
  • NY License # 320799
  • NC Medicaid 5909865
Hospital affiliation(s)
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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