| Forefront-rosenzweig Medical Services Professional Corporation | |
|
17 Adelphi Ave Providence RI 02906-4119 | |
| (401) 369-6515 | |
| Not Available |
| Full Name | Forefront-rosenzweig Medical Services Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17 Adelphi Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Andrew S Rosenzweig (OWNER) |
| Authorized Official Contact | 4013696515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forefront-rosenzweig Medical Services Professional Corporation 1717 Main St Ste 5850 Dallas TX 75201-7317 Ph: (866) 959-2008 | Forefront-rosenzweig Medical Services Professional Corporation 17 Adelphi Ave Providence RI 02906-4119 Ph: (401) 369-6515 |
| NPI Number | 1588101745 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 1052697455 |
|---|---|
| Medicare Enrollment ID | O20170420000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588101745 | NPI | - | NPPES |
| 7057693 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Andrew Seth Rosenzweig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942203690 PECOS PAC ID: 9234043134 Enrollment ID: I20050709000063 |
| Provider Name | Riviane Lafleur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386299733 PECOS PAC ID: 4183001167 Enrollment ID: I20230502002544 |
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