Active NPIIndividual provider

Dr. Yanina Kostina, MD

Ophthalmology, Neuro-ophthalmology in Waterbury, Connecticut

NPI Number1669442687
Practice location
1201 W Main St, Suite 100, Waterbury, CT 06708-3105
Fax
203-596-4758
Last updated
June 26, 2024

Yanina Kostina is an Ophthalmology, Neuro-ophthalmology based in Waterbury, CT. Yanina Kostina practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Yanina Kostina is 1669442687 and holds a License No. 038708 (CT). The current practice location address for Yanina Kostina is 1201 W Main St, Suite 100, Waterbury, CT 06708-3105 and can be reached out via phone at 203-597-9100 and via fax at 203-596-4758.

Provider Profile Details

NPI Number
1669442687
Provider Name
Yanina Kostina
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1201 W Main St, Suite 100, Waterbury, CT 06708-3105
Phone Number
203-597-9100
Fax Number
203-596-4758
Primary Taxonomy
Ophthalmology, Neuro-ophthalmology · 207WX0109X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2006
Last Update Date
June 26, 2024
Certification Date
June 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1201 W Main St
Suite 100
Waterbury, CT 06708-3105
Zip
06708-3105
Phone Number
203-597-9100
Fax Number
203-596-4758
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
1201 W Main St
Suite 100
Waterbury, CT 06708-3105
City
Waterbury
State
CT
Zip
06708-3105
Phone Number
203-597-9100
Fax Number
203-401-6517

License Information

License Number (1)
038708
License State (1)
CT
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (2)
038708
License State (2)
CT
Taxonomy (2)
Ophthalmology, Neuro-ophthalmology · 207WX0109X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Yanina Kostina, MD?

The NPI number of Dr. Yanina Kostina, MD is 1669442687. It was assigned on January 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Yanina Kostina, MD?

Dr. Yanina Kostina, MD is registered under the primary taxonomy Ophthalmology, Neuro-ophthalmology (code 207WX0109X), licensed in CT under license number 038708.

Where does Dr. Yanina Kostina, MD practice?

The practice location is 1201 W Main St, Suite 100, Waterbury, CT 06708-3105. The office can be reached at 203-597-9100 (phone) or 203-596-4758 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669442687 directly on the NPPES registry website.

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