Adena Blickstein, MD | |
47 Long Lots Rd, Westport, CT 06880-3828 | |
(860) 972-9033 | |
(860) 972-7040 |
Full Name | Adena Blickstein |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 47 Long Lots Rd, Westport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619324092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 310464-01 (New York) | Primary |
Entity Name | Interborough Developmental And Consultation Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588611842 PECOS PAC ID: 7911898192 Enrollment ID: O20040324001602 |
Mailing Address | Practice Location Address |
---|---|
Adena Blickstein, MD 1290 Silas Deane Hwy, Hhc Cvo, Wethersfield, CT 06109 Ph: (860) 972-9033 | Adena Blickstein, MD 47 Long Lots Rd, Westport, CT 06880-3828 Ph: (860) 972-9033 |
Kay L Cowan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19 Compo Rd S, Westport, CT 06880 Phone: 203-454-1520 | |
Snieguole Radzeviciene, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 47 Long Lots Rd, Westport, CT 06880 Phone: 203-227-1251 | |
Dr. Cornelia Lucia Gallo, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19 Compo Rd S, Westport, CT 06880 Phone: 203-226-3134 Fax: 203-259-4916 | |
Mr. Charles John Kallick, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12 Crooked Mile Rd, Westport, CT 06880 Phone: 203-226-3685 | |
Dr. Joseph Abel Russo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 177 Post Rd W, 2nd Floor, Westport, CT 06880 Phone: 203-227-9902 | |
Dr. Dennis D'arcy Banks, MD, JD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 225 North Main St., Westport, CT 06880 Phone: 203-520-3238 Fax: 631-907-4412 | |
Dr. Debra Kotoski Ressler, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 Sylvan Rd S, Westport, CT 06880 Phone: 203-247-4905 |