| Connecticut Epilepsy Group Pc | |
|
733 Summer St Suite 301 Stamford CT 06901-1081 | |
| (914) 428-3651 | |
| (914) 428-2948 |
| Full Name | Connecticut Epilepsy Group Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 733 Summer St, Stamford, Connecticut |
| Authorized Official Name and Position | Marcelo E Lancman (DIRECTOR) |
| Authorized Official Contact | 9144283651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Epilepsy Group Pc 690 N Broadway Suite Gl1 White Plains NY 10603-2417 Ph: (914) 428-3651 | Connecticut Epilepsy Group Pc 733 Summer St Suite 301 Stamford CT 06901-1081 Ph: (914) 428-3651 |
| NPI Number | 1902195019 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 09/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902195019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
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