Basic Information
| Provider Information | |||||||||
| NPI: | 1124095500 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOUSSEF | ||||||||
| FirstName: | YVETTE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 655 | ||||||||
| Address2: | |||||||||
| City: | EXETER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035806009 | ||||||||
| FaxNumber: | 6035807952 | ||||||||
| Practice Location | |||||||||
| Address1: | 118 PORTSMOUTH AVENUE | ||||||||
| Address2: | MILL BROOK OFFICE PARK | ||||||||
| City: | STRATHAM | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03885 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6037727764 | ||||||||
| FaxNumber: | 6037750377 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2006 | ||||||||
| LastUpdateDate: | 01/23/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 9690 | NH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0105105YPNH01 | 01 | NH | ANTHEM | OTHER | 020473740 | 01 | NH | HEALTHCARE VALUE MANAGEME | OTHER | AA13244 | 01 | NH | HARVARD PILGRIM | OTHER | 020473740 | 01 | NH | TRICARE | OTHER | 020473740 | 01 | NH | UNITED HEALTHCARE | OTHER | 30009969 | 05 | NH | MEDICAID | 110193507 | 01 | NH | RAILROAD MEDICARE | OTHER | 2316164 | 01 | NH | AETNA | OTHER | 020473740 | 01 | NH | HUMANA CHOICE CARE NETWOR | OTHER | 020473740 | 01 | NH | GREAT WEST HEALTHCARE | OTHER | 295843 | 01 | NH | CIGNA | OTHER | 020473740 | 01 | NH | PRIVATE HEALTHCARE SYSTEM | OTHER |