Healthcare Provider Details

I. General information

NPI: 1437313657
Provider Name (Legal Business Name): IRIS G STREIMISH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

YALE NEW HAVEN HOSPITAL 20 YORK STREET, PEDIATRICS, PERINATAL MEDICINE WP493
NEW HAVEN CT
06510
US

IV. Provider business mailing address

16 HARCOURT ST APARTMENT 16
BOSTON MA
02116-6427
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-2318
  • Fax:
Mailing address:
  • Phone: 203-688-2318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number236472
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: