Provider Demographics
NPI:1528261294
Name:EPSTEIN WILF, GUITA (MD)
Entity type:Individual
Prefix:DR
First Name:GUITA
Middle Name:
Last Name:EPSTEIN WILF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GUITA
Other - Middle Name:EPSTEIN
Other - Last Name:EPSTEIN WILF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:93 MUMFORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-2431
Mailing Address - Country:US
Mailing Address - Phone:203-668-7848
Mailing Address - Fax:
Practice Address - Street 1:646 GEORGE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5322
Practice Address - Country:US
Practice Address - Phone:203-789-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT 206352084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry