Alexandra Gozzola, | |
8 W Main St, Niantic, CT 06357-2303 | |
(860) 451-9364 | |
Not Available |
Full Name | Alexandra Gozzola |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 8 W Main St, Niantic, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295383370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 003690 (Connecticut) | Primary |
Entity Name | United Community And Family Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
Mailing Address | Practice Location Address |
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Alexandra Gozzola, 128 Flanders Rd, Niantic, CT 06357-1527 Ph: () - | Alexandra Gozzola, 8 W Main St, Niantic, CT 06357-2303 Ph: (860) 451-9364 |
Julie Alyce Yale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 2-9, Niantic, CT 06357 Phone: 860-304-6073 | |
Mrs. Kathleen D Ross, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 2-9, Niantic, CT 06357 Phone: 860-378-4996 | |
Donna Elizabeth Medina, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 W Main St, Niantic, CT 06357 Phone: 860-691-0873 | |
Ms. Carrie Malarkey, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St, Niantic, CT 06357 Phone: 860-850-0477 | |
Irinel Fishlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 3-14, Niantic, CT 06357 Phone: 860-451-9364 | |
Renee Elizabeth Agnes Triller, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 3-15, Niantic, CT 06357 Phone: 860-316-4428 |