| Comprehensive Psychiatric Care Llc | |
|
21 Longmeadow Rd Westborough MA 01581-2419 | |
| (508) 898-8650 | |
| (508) 870-9793 |
| Full Name | Comprehensive Psychiatric Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 21 Longmeadow Rd, Westborough, Massachusetts |
| Authorized Official Name and Position | Cheryl Moak (OFFICE MANAGER) |
| Authorized Official Contact | 5088988650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychiatric Care Llc 21 Longmeadow Rd Westborough MA 01581-2419 Ph: (508) 898-8650 | Comprehensive Psychiatric Care Llc 21 Longmeadow Rd Westborough MA 01581-2419 Ph: (508) 898-8650 |
| NPI Number | 1295015048 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 08/25/2011 |
| Medicare PECOS PAC ID | 8325211758 |
|---|---|
| Medicare Enrollment ID | O20111101000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295015048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Olga Gaftanyuk |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1639108756 PECOS PAC ID: 9638142250 Enrollment ID: I20040812001394 |
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