Dr. Mahalia S Desruisseaux
Infectious Disease
20 York St
New Haven
, Connecticut 06510
Dr. Mahalia S Desruisseaux
Infectious Disease
20 York St
New Haven
, Connecticut 06510
(203) 737-4057
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Mahalia S Desruisseaux
- Po Box 208022
- New Haven, CT
- Zip : 06520-8022
- Phone : (203) 737-4057
Second Address
- Dr. Mahalia S Desruisseaux
- 20 York St
- New Haven, CT
- Zip : 06510
- Phone : (718) 688-4242
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RI0200X | Infectious Disease | 229654 | NY |
| Y | 207RI0200X | Infectious Disease | 60093 | CT |
National Provider Identifier
| NPI | 1063603918 |
|---|---|
| Provider Name | Dr. Mahalia S Desruisseaux |
| First Address | New Haven, CT 06520-8022 |
| Second Address | New Haven, CT 06510 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2007 |
| Last Update Date | 18/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.