Desruisseaux, Mahalia S

Desruisseaux, Mahalia S is an sole proprietor health care provider with primary practice located at 20 York St , New Haven CT 06510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Desruisseaux, Mahalia S can be contacted via phone (718) 688-4242.

Contact Information

Primary practice address
20 York St New Haven CT 06510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 229654 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 60093 Connecticut

Profile Details

NPI number 1063603918
LBN Legal business name Desruisseaux, Mahalia S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Jun 18th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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