Provider Demographics
NPI:1003078379
Name:FIGUEREDO, YEISID F (MD)
Entity type:Individual
Prefix:DR
First Name:YEISID
Middle Name:F
Last Name:FIGUEREDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YEISID
Other - Middle Name:
Other - Last Name:GOZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 AMHERST DR
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1606
Mailing Address - Country:US
Mailing Address - Phone:203-271-3935
Mailing Address - Fax:
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:DEPT OF NEONATOLOGY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-688-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046618208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1064653OtherUSA
CT26-33542OtherAMERICHOICE
CT290000989CT03OtherANTHEM BCBS CT
CTP3412840OtherOXFORD
CT2V9573OtherHEALTHNET/COMMERCIAL
CT357229OtherWELLCARE
CT26-33542OtherUHC
CT7061719OtherAETNA
CT98900-5912OtherCONNECTICARE
CTP00359922OtherRR MEDICARE
CT1064653OtherUSA
CTD400009339Medicare PIN