# VISAVIS HEALTH CARE MEDICAL GROUP OF VT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497566780
- **Authorized official:** IRINA YUFFA (VP PATIENT CARE SERVICES AND SUCCES)
- **Authorized official phone:** (973) 564-1057

## Contact information

- **Practice address:** 105 CHESTER RD, SPRINGFIELD, VT 05156-2106
- **Practice address phone:** (877) 210-2373
- **Mailing address:** 1481 MCDONALD AVE, BROOKLYN, NY 11230-4667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2025
- **Last updated:** 01/15/2025