Individual
MS. SOFIA VI NOORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 GEORGE ST, SUITE 901, NEW HAVEN, CT 06511-6624
(203) 785-2095
Mailing address
300 GEORGE ST, SUITE 901, NEW HAVEN, CT 06511-6624
(203) 785-2095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
63821
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
10/24/2019
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