Individual
FIRAS TOMY YOUSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 CAMPBELL AVE, WEST HAVEN BEHAVIORAL HEALTH, WEST HAVEN, CT 06516
(203) 503-3409
(203) 503-3414
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67440
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008102734
—
CT
Enumeration date
04/19/2016
Last updated
10/21/2021
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