Zinaida Boutaeva, MD - Psychiatry & Neurology in Orange, CT

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Zinaida Boutaeva, MD is a Psychiatry & Neurology - Addiction Psychiatry physician based in Orange, Connecticut. Zinaida Boutaeva is licensed to practice in Connecticut (license number 046350) and her current practice location is 6232 Avalon Dr W, Orange, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 908-3138.

NPI number for Zinaida Boutaeva is 1154583748 and her current mailing address is 6232 Avalon Dr W, Orange, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154583748.

Contact Information

Zinaida Boutaeva, MD
6232 Avalon Dr W,
Orange, CT 06477-3679
(203) 908-3138
Not Available

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Physician's Profile

Full NameZinaida Boutaeva
GenderFemale
SpecialityPsychiatry & Neurology - Addiction Psychiatry
Location6232 Avalon Dr W, Orange, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154583748
  • Provider Enumeration Date: 06/25/2008
  • Last Update Date: 06/25/2008

Medical Identifiers

Medical identifiers for Zinaida Boutaeva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154583748NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0802XPsychiatry & Neurology - Addiction Psychiatry 046350 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Zinaida Boutaeva is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Zinaida Boutaeva, MD
6232 Avalon Dr W,
Orange, CT 06477-3679

Ph: (203) 908-3138		Zinaida Boutaeva, MD
6232 Avalon Dr W,
Orange, CT 06477-3679

Ph: (203) 908-3138

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Psychiatry & Neurology Doctors in Orange, CT


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