Dr Amanda W Pong, MD | |
50 Forest St, Apt 1421, Stamford, CT 06901 | |
(619) 322-2577 | |
Not Available |
Full Name | Dr Amanda W Pong |
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Gender | Female |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 50 Forest St, Stamford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750583399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 249659 (New York) | Primary |
Entity Name | Pavel Klein |
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Entity Type | Practitioner - Neurology |
Entity Identifiers | NPI Number: 1770528648 PECOS PAC ID: 4789611419 Enrollment ID: I20050725000306 |
Entity Name | Mid-atlantic Epilepsy & Sleep Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528824836 PECOS PAC ID: 6608217773 Enrollment ID: O20240508000013 |
Mailing Address | Practice Location Address |
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Dr Amanda W Pong, MD 50 Forest St, Apt 1421, Stamford, CT 06901 Ph: (619) 322-2577 | Dr Amanda W Pong, MD 50 Forest St, Apt 1421, Stamford, CT 06901 Ph: (619) 322-2577 |
Dr. Derek Cheng, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 29 Hospital Plz Ste 602, Stamford, CT 06902 Phone: 203-276-4464 | |
Dr. Michael Kofi Adusei, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 30 Shelburne Rd, Stamford Hospital, Stamford, CT 06902 Phone: 203-276-1000 Fax: 203-276-7081 | |
Dr. Victoria Marie Knightly, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 680 E Main St # 567, Stamford, CT 06901 Phone: 475-219-6707 Fax: 956-508-9773 | |
Dr. Ellyn Sue Shander, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1933 Long Ridge Rd, Stamford, CT 06903 Phone: 203-595-9205 Fax: 203-329-8011 | |
Shanicka Reynolds, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 22 5th St, Stamford, CT 06905 Phone: 203-323-8160 | |
William Hampton, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Dock St Ste 309, Stamford, CT 06902 Phone: 203-919-4649 | |
Dr. Elisa M Rambo, M. D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 680 E Main St # 599, Stamford, CT 06901 Phone: 480-347-2570 Fax: 480-865-2329 |