| Lisa Bioty, Llc | |
|
237 Twin Bridge Rd Madison CT 06443-1795 | |
| (203) 215-8097 | |
| Not Available |
| Full Name | Lisa Bioty, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 237 Twin Bridge Rd, Madison, Connecticut |
| Authorized Official Name and Position | Lisa Bioty (OWNER) |
| Authorized Official Contact | 2032158097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Bioty, Llc 237 Twin Bridge Rd Madison CT 06443-1795 Ph: (203) 215-8097 | Lisa Bioty, Llc 237 Twin Bridge Rd Madison CT 06443-1795 Ph: (203) 215-8097 |
| NPI Number | 1346845526 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 01/11/2021 |
| Certification Date | 01/11/2021 |
| Medicare PECOS PAC ID | 8123432077 |
|---|---|
| Medicare Enrollment ID | O20210204000945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346845526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Dolores Bioty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568910792 PECOS PAC ID: 9032523980 Enrollment ID: I20210204001452 |
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