Healthcare Provider Details

I. General information

NPI: 1003078379
Provider Name (Legal Business Name): YEISID F FIGUEREDO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YEISID GOZZO

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 06/12/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST DEPT OF NEONATOLOGY
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

15 AMHERST DR
CHESHIRE CT
06410-1606
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-2320
  • Fax:
Mailing address:
  • Phone: 203-271-3935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number046618
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number046618
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: