| Columbia Mental Health Llc | |
|
340 Capitol Ave Bridgeport CT 06606-5412 | |
| (203) 367-5589 | |
| Not Available |
| Full Name | Columbia Mental Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 340 Capitol Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Lazaro N Pomeraniec (OWNER) |
| Authorized Official Contact | 2033675589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Mental Health Llc 340 Capitol Ave Bridgeport CT 06606-5412 Ph: (203) 367-5589 | Columbia Mental Health Llc 340 Capitol Ave Bridgeport CT 06606-5412 Ph: (203) 367-5589 |
| NPI Number | 1205077856 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Medicare PECOS PAC ID | 9537216643 |
|---|---|
| Medicare Enrollment ID | O20090407000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205077856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lazaro Pomeraniec |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801817705 PECOS PAC ID: 4284617770 Enrollment ID: I20040607001498 |
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