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Contact Information

LARISSA A HABIB, MD
1817 BLACK ROCK TPKE STE 204
FAIRFIELD, CT06825-3546
 Phone: 203-424-0228
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for LARISSA A HABIB · (Female)

NPI Number 1447525654
Status Active
Credentials MD
Entity Individual
Enumeration date 03/21/2012
Last updated 05/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 63953
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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