| Boston Psychiatric Care | |
|
11 Green St Jamaica Plain MA 02130-2588 | |
| (617) 830-1644 | |
| (617) 830-1644 |
| Full Name | Boston Psychiatric Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 11 Green St, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Danielle Marie Fedorov (CLINICAL NURSE SPECIALIST) |
| Authorized Official Contact | 6178301644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Psychiatric Care 11 Green St Jamaica Plain MA 02130-2588 Ph: (617) 830-1644 | Boston Psychiatric Care 11 Green St Jamaica Plain MA 02130-2588 Ph: (617) 830-1644 |
| NPI Number | 1518246131 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 08/19/2011 |
| Medicare PECOS PAC ID | 8729230800 |
|---|---|
| Medicare Enrollment ID | O20121219000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518246131 | NPI | - | NPPES |
| 1811189210 | Other | MA | INDIVIDUAL NPI NUMBER FOR DANIELLE MARIE FEDOROV RN CNS |
| Provider Name | Danielle M Zito |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811189210 PECOS PAC ID: 4082762828 Enrollment ID: I20090504000610 |
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