| Cynthia L Sarris, Pa, Llc | |
|
46 Granite Hill Rd Killingworth CT 06419-2211 | |
| (860) 395-9110 | |
| (860) 663-2629 |
| Full Name | Cynthia L Sarris, Pa, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 46 Granite Hill Rd, Killingworth, Connecticut |
| Authorized Official Name and Position | Cynthia L Vogt (PROVIDER) |
| Authorized Official Contact | 8603959110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia L Sarris, Pa, Llc 46 Granite Hill Rd Killingworth CT 06419-2211 Ph: (860) 395-9110 | Cynthia L Sarris, Pa, Llc 46 Granite Hill Rd Killingworth CT 06419-2211 Ph: (860) 395-9110 |
| NPI Number | 1639505043 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 09/17/2013 |
| Medicare PECOS PAC ID | 9032015243 |
|---|---|
| Medicare Enrollment ID | O20140227001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639505043 | NPI | - | NPPES |
| MCD008007950 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006192 (Connecticut) | Primary |
| Provider Name | Cynthia Lee Sarris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922119114 PECOS PAC ID: 1557267762 Enrollment ID: I20141110002311 |
| Provider Name | Steven Jack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760621577 PECOS PAC ID: 9537325212 Enrollment ID: I20151218000941 |
| Provider Name | Andrea Cook Basel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598202061 PECOS PAC ID: 5193086742 Enrollment ID: I20180223000538 |
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