| Hartford Headache Center, Llc | |
|
144 Main Street Suite D East Hartford CT 06118 | |
| (860) 895-3133 | |
| (860) 895-3131 |
| Full Name | Hartford Headache Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 144 Main Street, East Hartford, Connecticut |
| Authorized Official Name and Position | Tanya R Bilchik (DIRECTOR HARTFORD HEADACHE CENTER) |
| Authorized Official Contact | 8608953133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartford Headache Center, Llc 144 Main Street Suite D East Hartford CT 06118 Ph: (860) 895-3133 | Hartford Headache Center, Llc 144 Main Street Suite D East Hartford CT 06118 Ph: (860) 895-3133 |
| NPI Number | 1972556165 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 02/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972556165 | NPI | - | NPPES |
| C03156 | Other | CT | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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