| Margaliet Ligtenstein Llc | |
|
1 Evergreen Ave Ste 24 Hamden CT 06518-2732 | |
| (203) 530-0697 | |
| Not Available |
| Full Name | Margaliet Ligtenstein Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Evergreen Ave Ste 24, Hamden, Connecticut |
| Authorized Official Name and Position | Margaliet Ligtenstein (OWNER) |
| Authorized Official Contact | 2035300697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Margaliet Ligtenstein Llc 54 Ardmore St Hamden CT 06517-1300 Ph: (203) 530-0697 | Margaliet Ligtenstein Llc 1 Evergreen Ave Ste 24 Hamden CT 06518-2732 Ph: (203) 530-0697 |
| NPI Number | 1285395418 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Medicare PECOS PAC ID | 8820481062 |
|---|---|
| Medicare Enrollment ID | O20220210000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285395418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Margaliet Ligtenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558596999 PECOS PAC ID: 5698004026 Enrollment ID: I20190911000666 |
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